title: The Duration of Negative Pressure Wound Therapy Can Be Reduced Using the HeartShield Device in Patients With Deep Sternal Wound Infection.
abstract: BACKGROUND
  Heart rupture resulting in lethal bleeding is a devastating complication associated with negative pressure wound therapy (NPWT) in patients with deep sternal wound infection (DSWI). We have previously reported that the use of a protective HeartShield device in combination with NPWT decreases the risk of damage to the heart. This article presents a retrospective analysis of NPWT duration with and without the HeartShield device.
  
  
  METHODS
  The study included 6 patients treated with the HeartShield device in combination with NPWT and 6 patients treated with conventional NPWT during the same time period. The duration of active treatment time was measured.
  
  
  RESULTS
  The median duration of NPWT was 8 days (range: 6-14 days) in the HeartShield device NPWT group and 14 days in the conventional group (range: 10-18 days). The difference was statistically significant (P < .05).
  
  
  CONCLUSIONS
  It appears that the treatment of patients with DSWI with the HeartShield device reduces the duration of NPWT.
authors.affiliation: Department of Cardiothoracic Surgery, Lund University and Skåne University Hospital, Lund, Sweden.
authors.forename: Richard
authors.initials: R
authors.lastname: Ingemansson
authors.affiliation: Department of Ophthalmology, Lund University and Skåne University Hospital, Lund, Sweden.
authors.forename: Malin
authors.initials: M
authors.lastname: Malmsjö
authors.affiliation: Department of Cardiothoracic Surgery, Lund University and Skåne University Hospital, Lund, Sweden.
authors.forename: Sandra
authors.initials: S
authors.lastname: Lindstedt
keywords: NPWT; Wound; heart; sternotomy; vacuum
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