Heart Hugger Blog

The History of Sternal Dehiscence

Posted by Heart Hugger on Dec 14, 2015 12:27:00 PM

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sternal dehiscence history

The midline sternotomy made its entrance into the clinical world, but not without complications. Sternal infection was on the rise. Sternal dehiscence was treated with open drainage and debridement with packing. Results included complications like graft exposure, desiccation of wound margins, osteomyelitis, and death. In 1963, Shucker and Mandelbaum introduced closed management with catheter-antibiotic irrigation. Survival rates increased, but they were still pretty slim. With the mortality risks, there was great desire to discover better wound care.