Introduction
Undergoing open-heart surgery involves a midline chest incision (sternotomy) that requires vigilant care to prevent infection and support healing. Patients and families across the U.S. need clear, reassuring guidance on daily wound management, activity restrictions, and when to seek medical help. This article provides evidence-based steps to keep your sternotomy site clean, comfortable, and infection-free.
Why Wound Care Matters
A surgical site infection after sternotomy can lead to longer hospital stays, additional procedures, and serious complications such as mediastinitis. Following proper wound-care protocols reduces risks and supports faster recovery.
How to Clean Wound After Open Heart Surgery
Supplies You’ll Need
- Sterile saline or mild soap and water
- Sterile gauze pads
- Non-adhesive dressings
- Surgical adhesive strips (if prescribed)
Step-by-Step Cleaning
- Wash hands thoroughly with soap and water.
- Remove old dressing gently; note any drainage or redness.
- Clean incision using sterile saline or mild soap with gauze, moving from the center outward.
- Pat dry with a clean gauze pad - never rub.
- Apply new dressing ensuring no wrinkles; secure with gentle tape or prescribed strips.
Activity Precautions and Sternal Precautions
Sternal Precautions to Follow
- Avoid lifting more than 5–10 pounds for 6–8 weeks.
- Do not reach both arms overhead simultaneously.
- Use a pillow to “splint” when coughing or laughing to minimize chest strain.
Driving, Flying, and Daily Tasks
- Driving usually resumes after 4–6 weeks - confirm with your surgeon.
- Air travel is safe once wound is fully closed and healing - typically after 4–6 weeks.
- Prioritize gentle chores; avoid pushing, pulling, or strenuous activity until cleared.
Recognizing Signs of Infection
- Increased redness, swelling, or warmth around incision
- Unusual drainage: yellow or green pus, foul odor
- Fever above 100.4°F (38°C)
- Chest pain worsening with movement
If you notice any of these, contact your surgeon or local ER immediately.
Imaging and Plating Considerations
Some patients receive sternal plating or wires for added stability. Wound-care steps remain the same, but notify your care team if hardware becomes exposed or the wound edges pull apart.
Conclusion
Proper sternotomy wound care is a cornerstone of safe recovery. By following daily cleaning, adhering to sternal precautions, and monitoring for signs of infection, patients and families can help ensure a smooth healing journey.
Do you require personalized guidance? Visit MyVerus Report to get a tailored post-operative care plan and second opinion from top cardiac surgeons.
