Richard Ingemansson (SE)

9 June 2015

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Video Information

Presentation recorded at the 6th International NPWT Expert Meeting, Berlin 20-21 March 2015.
Cardiothoracic workstream


Richard Ingemansson opened with an overview of the incidence of sternal wound complications such as deep sternal wound infection (DSWI), superficial sternal wound infection (SSWI), sternal dehiscence, pseudoarthrosis, sternal pain, subxyphoid hernia; DSWI has an incidence of 1-4% of cases with a 7-35% mortality, while SSWI has an incidence of 4-7%, with a mortality of 1-2%. He has proposed a practical classification for risk factors related to cardiothoracic surgery: major (diabetes mellitus, BMI<18 or >40, dialysis), intermediate (use of bilateral mammary arteries, chronic lung disease [GOLD class>2], longterm immunosuppressive therapy, previous chest wall radiotherapy, chronic kidey disease, 35<BMI<39), and minor (cardiac re-operation, female gender, age> 75 years, acute myocardial infarction, hospitalized for at least 7 days before surgery).