Abstract
Introduction: There is a strong suggestion that an impairment of vascular supply of the sternum may be one of the most important factors influencing the incidence of deep sternal wound infection (DSWI). Several studies have studied the risk factors for SSIs including DSWI in cardiac surgery. Methods: All patients who are presented to Assiut University Heart Hospital in need of Coronary artery Bypass Grafting from 1st of January, 2018 to 30th june, 2021 were included in the study prospectively. Exclusion criteria included patients who were diagnosed with infective endocarditis, have undergone open heart surgery before or had sternotomy been done for any other reason- redo surgery is excluded-, and where other surgical accesses were used other than sternotomy. Results: During the study duration, we included 99 pateinets. Our patients were followed for 1 week post-operative and then on day 30 post-operative. 81 patients showed perfect skin healing at 1 week post-operative follow-up with very nice and neat scar at 1 month follow-up. 5 patients showed wound breakdown with subcutaneous being exposed (Type I SWIs). 3 patients suffered type I SWI with exposed subcutaneous but with severe infection and loss of skin.
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