{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T08:48:27Z","timestamp":1775810907568,"version":"3.50.1"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2021,6,28]],"date-time":"2021-06-28T00:00:00Z","timestamp":1624838400000},"content-version":"vor","delay-in-days":88,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\nBackground\u2003Deep sternal wound infections (DSWI) following median sternotomy are initially treated by the cardiothoracic surgeons and are referred to a plastic surgical unit late in the course of time.<\/jats:p><jats:p>\nMethods\u2003This is a retrospective review done in a tertiary care teaching institute from January 2005 to June 2018 and the data of 72 patients who had DSWI out of 4,214 patients who underwent median sternotomy for coronary artery bypass grafting (CABG) was collected with respect to the duration between CABG and presentation of DSWI as well as time of referral to a plastic surgery unit. We defined early referral as &lt; or equal to 15 days from presentation and late referral as &gt; 15 days. Both groups were compared with respect to multiple parameters as well as early and late postoperative course, postoperative complications, and mortality.<\/jats:p><jats:p>\nResults\u2003The early group had 33 patients, while the late group had 39 patients. The number of procedures done by the cardiothoracic team before referral to the plastic surgery unit is significant (p = 0.002). The average duration from the presentation of DSWI to definitive surgery was found to be 16.58 days in the early group and 89.36 days in the late group. The rest of the variables that were compared in both the groups did not have significant differences.<\/jats:p><jats:p>\nConclusion\u2003There is no statistical difference between early and late referral to plastic surgery in terms of mortality and morbidity. Yet, early referrals could lead to highly significant reduction in total duration of hospital stay, wound healing, and costs. Early referral of post-CABG DSWIs to Plastic surgeons by the cardiothoracic surgeons is highly recommended.<\/jats:p>","DOI":"10.1055\/s-0041-1731256","type":"journal-article","created":{"date-parts":[[2021,7,22]],"date-time":"2021-07-22T14:59:17Z","timestamp":1626965957000},"page":"157-162","source":"Crossref","is-referenced-by-count":3,"title":["Post-CABG Deep Sternal Wound Infection: A Retrospective Comparative Analysis of Early versus Late Referral to a Plastic Surgery Unit in a Tertiary Care Center"],"prefix":"10.1055","volume":"54","author":[{"given":"Parag B.","family":"Sahasrabudhe","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Deenanath Mangeshkar Hospital & Research Centre, Pune, Maharashtra, India"},{"name":"Department of Plastic Surgery, B.J. Medical Govt. College & Sassoon Hospitals, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mugdha D.","family":"Pradhan","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Deenanath Mangeshkar Hospital & Research Centre, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikhil","family":"Panse","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, B.J. Medical Govt. College & Sassoon Hospitals, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranjit","family":"Jagtap","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Deenanath Mangeshkar Hospital & Research Centre, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,6,28]]},"reference":[{"issue":"09","key":"ref1","doi-asserted-by":"crossref","first-page":"3031","DOI":"10.21037\/jtd.2017.08.41","article-title":"Deep sternal wound infection after cardiac surgery in the Chinese population: a single-centre 15-year retrospective study","volume":"9","author":"L Pan","year":"2017","journal-title":"J Thorac Dis"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/j.athoracsur.2005.03.035","article-title":"Deep sternal wound infection after cardiac surgery: modality of treatment and outcome","volume":"80","author":"F F Immer","year":"2005","journal-title":"Ann Thorac Surg"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1097\/SAP.0b013e31803b370b","article-title":"Outcomes in the management of sternal dehiscence by plastic surgery: a ten-year review in one university center","volume":"59","author":"G Landes","year":"2007","journal-title":"Ann Plast Surg"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"1408","DOI":"10.1016\/j.jtcvs.2003.10.006","article-title":"Single versus bilateral internal thoracic artery grafts with concomitant saphenous vein grafts for multivessel coronary artery bypass grafting: effects on mortality and event-free survival","volume":"127","author":"L M Stevens","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1016\/S0003-4975(01)03040-5","article-title":"van Leur L, van der Wielen BJW, Westers P. Better ischemic event-free survival after two internal thoracic artery grafts: 13 years of follow-up","volume":"72","author":"E Berreklouw","year":"2001","journal-title":"Ann Thorac Surg"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1007\/s12055-016-0425-6","article-title":"Audit of 37 cases of deep sternal wound infections (DSWIs) following 2418 coronary artery bypass graftings (CABGs)","volume":"32","author":"P Sahasrabudhe","year":"2016","journal-title":"Indian J Thorac Cardiovasc Surg."},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1016\/S0022-5223(19)39718-1","article-title":"The surgical anatomy of sternal blood supply","volume":"64","author":"M Arnold","year":"1972","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"05","key":"ref8","first-page":"899","article-title":"Sternal blood flow after median sternotomy and mobilization of the internal mammary arteries","volume":"104","author":"A E Seyfer","year":"1988","journal-title":"Surgery"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/S0003-4975(10)62035-8","article-title":"Major sternal wound infection after open-heart surgery: a multivariate analysis of risk factors in 2,579 consecutive operative procedures","volume":"44","author":"G Ottino","year":"1987","journal-title":"Ann Thorac Surg"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/0003-4975(90)90140-2","article-title":"Risks of bilateral internal mammary artery bypass grafting","volume":"49","author":"N T Kouchoukos","year":"1990","journal-title":"Ann Thorac Surg"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0003-4975(90)90136-T","article-title":"J. 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