{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:29:41Z","timestamp":1760189381469},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,9,17]],"date-time":"2014-09-17T00:00:00Z","timestamp":1410912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The aim of this study is to report our experience about the treatment of complex sternal and thoracic wounds following cardiothoracic surgery, using vacuum\u2010assisted closure (<jats:styled-content style=\"fixed-case\">VAC<\/jats:styled-content> therapy. Twelve patients presenting with sternal (five cases) and thoracic (seven cases) wounds that were difficult to heal were treated through <jats:styled-content style=\"fixed-case\">VAC<\/jats:styled-content> therapy after the first surgical debridement. The duration of <jats:styled-content style=\"fixed-case\">VAC<\/jats:styled-content> application ranged from 12 to 36 days with an average hospital stay of 24\u00b76 \u00b1 11\u00b74 days. During a mean follow\u2010up of 12 months, we observed complete wound healing in seven cases (58\u00b73%), in an average period of 25\u00b75 \u00b1 14\u00b73 days; one patient died during follow\u2010up, two patients were lost to follow\u2010up and two patients required definitive surgical closure of the wound cavity. In conclusion, <jats:styled-content style=\"fixed-case\">VAC<\/jats:styled-content> therapy promotes faster wound healing, with shorter hospital stay and subsequent lesser in\u2010hospital cost, reducing the mortality rate in the long run. It also promotes early rehabilitation and alleviates the need for a second procedure, thus improving patient satisfaction, with minimal discomfort or inconvenience.<\/jats:p>","DOI":"10.1111\/iwj.12369","type":"journal-article","created":{"date-parts":[[2014,9,17]],"date-time":"2014-09-17T07:53:51Z","timestamp":1410940431000},"page":"759-762","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["<scp>VAC<\/scp> therapy for the treatment of complex wounds after cardio\u2010thoracic surgery"],"prefix":"10.1111","volume":"13","author":[{"given":"Giovanni","family":"De Caridi","sequence":"first","affiliation":[{"name":"Cardiovascular and Thoracic Department, \u201cPoliclinico G. Martino\u201d Hospital University of Messina  Messina Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaele","family":"Serra","sequence":"additional","affiliation":[{"name":"Department of Surgical and Medical Sciences University Magna Graecia of Catanzaro  Catanzaro Italy"},{"name":"Interuniversity Center of Phlebolymphology (CIFL), International Research and Educational Program in Clinical and Experimental Biotechnology University Magna Graecia of Catanzaro  Catanzaro Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mafalda","family":"Massara","sequence":"additional","affiliation":[{"name":"Cardiovascular and Thoracic Department, \u201cPoliclinico G. Martino\u201d Hospital University of Messina  Messina Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Barone","sequence":"additional","affiliation":[{"name":"Cardiovascular and Thoracic Department, \u201cPoliclinico G. 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