a Department of Plastic and Reconstructive Surgery, University Hospital Groningen, Groningen, The Netherlands
b Department of Cardiothoracic Surgery, University Hospital Groningen, Groningen, The Netherlands
Abstract:
A new technique using vacuum-assisted closure was successfully applied in 3 patients with poststernotomy mediastinitis. After surgical debridement, this vacuum-assisted closure technique has made it possible to avoid the need for secondary surgical closure (including direct secondary surgical closure and secondary surgical closure by use of vascularized muscle flaps). A healed stable sternotomy wound can be achieved using this new technique.