The management of deep sternal wound infections using vacuum assisted closure™ (V.A.C.®) therapy

Tatjana Fleck, Ronny Gustafsson, Keith Harding, Richard Ingemansson, Mitchell D. Lirtzman, Herbert L. Meites, Reinhard Moidl, Patricia Price, Andrew Ritchie, Jorge Salazar, Johan Sjögren, David H. Song, Bauer E. Sumpio, Boulos Toursarkissian, Ferdinand Waldenberger, Walter Wetzel-Roth

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


A group of international experts met in May 2006 to develop clinical guidelines on the practical application of vacuum assisted closure™ (V.A.C.®)† therapy in deep sternal wound infections. Group discussion and an anonymous interactive voting system were used to develop content. The recommendations are based on current evidence or, where this was not available, the majority consensus of the international group. The principles of treatment for deep sternal wound infections include early recognition and treatment of infection. V.A.C. therapy should be instigated early, following thorough wound irrigation and surgical debridement. V.A.C. therapy in deep sternal wound infections requires specialist surgical supervision and should only be undertaken by clinicians with adequate experience and training in the use of the technique.

Original languageEnglish (US)
Pages (from-to)273-280
Number of pages8
JournalInternational Wound Journal
Issue number4
StatePublished - Dec 2006


  • Consensus group
  • Deep sternal wounds
  • Infections
  • Mediastinitis
  • Treatment guideline
  • Vacuum assisted closure
  • Wound healing

ASJC Scopus subject areas

  • Surgery
  • Dermatology


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