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Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report
INTRODUCTION: Sternal dehiscence and instability poses a significant cause of persistent pain and limited quality of life following hospital discharge for 0.2% to 5% of patients who have undergone median sternotomy for open heart surgery. We report a successful, conservative, supportive long-term th...
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2928784/ https://www.ncbi.nlm.nih.gov/pubmed/20701783 http://dx.doi.org/10.1186/1752-1947-4-266 |
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author | Klement, Andreas Herrmann, Manfred |
author_facet | Klement, Andreas Herrmann, Manfred |
author_sort | Klement, Andreas |
collection | PubMed |
description | INTRODUCTION: Sternal dehiscence and instability poses a significant cause of persistent pain and limited quality of life following hospital discharge for 0.2% to 5% of patients who have undergone median sternotomy for open heart surgery. We report a successful, conservative, supportive long-term therapy of painful sternal non-union using a customized compression garment vest. CASE PRESENTATION: We report a case of painful sternal instability following open heart surgery in a 74-year-old Caucasian man. The complicating factors of obesity (body mass index of 40), renal failure, insulin-dependent diabetes mellitus and absolute arrhythmia with atrial fibrillation were present. CONCLUSION: A number of studies have demonstrated the efficacy of surgical interventions for secondary sternal stabilization, but individual patients may reject this option or may be, for other reasons, no longer operable. The task of primary care physicians and other health care providers is to offer this group of patients an alternative option for pragmatic, inexpensive and effective supportive therapy, of which compression garments are an example. |
format | Text |
id | pubmed-2928784 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-29287842010-08-27 Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report Klement, Andreas Herrmann, Manfred J Med Case Reports Case Report INTRODUCTION: Sternal dehiscence and instability poses a significant cause of persistent pain and limited quality of life following hospital discharge for 0.2% to 5% of patients who have undergone median sternotomy for open heart surgery. We report a successful, conservative, supportive long-term therapy of painful sternal non-union using a customized compression garment vest. CASE PRESENTATION: We report a case of painful sternal instability following open heart surgery in a 74-year-old Caucasian man. The complicating factors of obesity (body mass index of 40), renal failure, insulin-dependent diabetes mellitus and absolute arrhythmia with atrial fibrillation were present. CONCLUSION: A number of studies have demonstrated the efficacy of surgical interventions for secondary sternal stabilization, but individual patients may reject this option or may be, for other reasons, no longer operable. The task of primary care physicians and other health care providers is to offer this group of patients an alternative option for pragmatic, inexpensive and effective supportive therapy, of which compression garments are an example. BioMed Central 2010-08-11 /pmc/articles/PMC2928784/ /pubmed/20701783 http://dx.doi.org/10.1186/1752-1947-4-266 Text en Copyright ©2010 Klement and Herrmann; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Klement, Andreas Herrmann, Manfred Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report |
title | Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report |
title_full | Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report |
title_fullStr | Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report |
title_full_unstemmed | Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report |
title_short | Supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report |
title_sort | supportive treatment using a compression garment vest of painful sternal instability following deep surgical wound infection: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2928784/ https://www.ncbi.nlm.nih.gov/pubmed/20701783 http://dx.doi.org/10.1186/1752-1947-4-266 |
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