Sternal Wound Reconstruction Following Deep Sternal Wound Infection

Abstract

Deep sternal wound infection (DSWI) is one of the most serious complications following median sternotomy in cardiac surgery, associated with significant morbidity, prolonged hospitalization, increased healthcare costs, and elevated mortality rates. Despite advances in perioperative care and infection control measures, DSWI remains a challenging clinical problem. Early diagnosis, aggressive debridement, and appropriate reconstruction strategies are essential for successful management. Various reconstructive options have been described, including muscle and omental flaps, vacuum-assisted closure (VAC) therapy, and rigid sternal fixation techniques. However, the optimal reconstructive approach remains controversial and depends on patient factors, wound characteristics, and institutional experience.