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Journal and News Scan
A study was performed to assess the efficacy of topical vancomycin in the reduction of sternal wound infection (SWI), as this topic has become a point of contention. There was no difference between the vancomycin and saline control group at three months postoperatively, and similar findings were observed at one year. The study concluded that applying vancomycin makes no significant difference in SWI.
This randomized trial assessed the efficacy of vacuum-assisted sternal closure as compared to primary closure technique in the treatment of post-cardiac surgery mediastinitis in a pediatric age group. Out of 101 patients, the chance of survival six months post-surgery was higher for the primary sternal closure group. The study concluded that primary sternal closure technique is favorable over vacuum-assisted closure technique in pediatric cases.
In Fiji, where complex cardiac surgical care has not previously been available, a team of local surgeons is undergoing training with a team from India. The plan to establish two permanent cardiac surgical teams at Lautoka Hospital will greatly benefit the people of Fiji in the long term.
After a fetus was diagnosed with severe pulmonary stenosis, the first in-utero percutaneous balloon pulmonary valvuloplasty in western China was performed. Because the baby would be born with serious complications if surgeons decided to wait until after birth, the surgery was performed two months prior to delivery. The baby was born healthy on October 10, 2022.
A new study shows that white heart transplant patients are twice as likely to receive a heart transplant or ventricular assist device as Black heart transplant patients, perpetuating existing inequalities in healthcare access. Experts emphasize that this is due to differences in education and access, not biological determinants. Read the original study here.
A patient from Rwanda, who traveled to a medical center in Israel to undergo an operation for the congenital disease Tetralogy of Fallot, was not able to accept transfusions of donated blood due to her faith. Through arrangements with a blood bank, the hospital managed to obtain units of blood from the patient herself to be used in the operation, allowing the life-saving procedure to take place. The operation was successful; the patient returned to recovery at the heart center.