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Kenneth D. Call
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J Thorac Cardiovasc Surg 2004;127:604
© 2004 The American Association for Thoracic Surgery

Letter to the editor

Limitations on the role of vacuum-assisted closure in cardiac surgery

Giorgio M. Aru, MD, Kenneth D. Call, MD

University of Mississippi Medical Center, Jackson, MS 39216, USA

The first 20% of the full text of this article appears below.

To the Editor:

We disagree with the conclusion of the article of Luckraz and colleagues1 that vacuum-assisted closure (VAC) "can be used alone as acceptable treatment modality for sternal wound infection." In their series of 27 patients with postoperative mediastinitis, the intended treatment was VAC initially, but only 14 patients actually had VAC only (group A), whereas the other 13 patients had VAC followed by myocutaneous flap. Of the latter group, 8 patients underwent flap closure because "the wound was clean and granulating but too large," and 5 more underwent direct . . . [Full Text of this Article]


Related Article

Reply to the Editor
H. Luckraz and A. I. Ritchie
J. Thorac. Cardiovasc. Surg. 2004 127: 604-605. [Extract] [Full Text] [PDF]





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