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Clinical case of successful application of reosteosynthesis sternum in chronic postoperative sternomediastinitis

https://doi.org/10.25789/YMJ.2019.67.33

Abstract

The authors described the clinical observation of postoperative sternomediastinitis. The feasibility of a two-stage surgical treatment of this pathology was noted: the first stage is the removal of ligatures and necrectomy of the sternum, the second is the resection of the sternum with plastic replacement of the wound defect. At the integrity of the sternum, the authors propose to perform surgical intervention, including the preservation of bone tissue, sternal rheosteosynthesis.

About the Authors

A. A. Shevchenko
Far Eastern State Medical University
Russian Federation

Shevchenko Alexander Alexandrovich, candidate of medical Sciences, associate Professor of the Department of Surgery FESMU

680000, 35 Muravyov-Amursky St, phone 8-914-770- 34-77



E. A. Kashkarov
Regional Clinical Hospital No.1
Russian Federation

Kashkarov Evgeniy Alexandrovich, the head of the department of Thoracic Surgery

680000, 9 Krasnodarskaya St.



N. G. Zhila
Saint Petersburg state pediatric medical University
Russian Federation

Zhila Nikolai Grigorievich, doctor of medical Sciences, Professor of department of surgical diseases of childhood

194100, Saint Petersburg, 2 Litovskaya St



A. V. Koshevoy
Regional Clinical Hospital No. 1
Russian Federation

Koshevoy Alexander Vladimirovich, a thoracic surgeon of the department of Thoracic Surgery

680000, 9 Krasnodarskaya St.



References

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2. National clinical guidelines. Thoracic surgery / ed. P. K. Yablonsky. – M.: GEOTAR-Media, 2014. - P.160.

3. Strategy and tactics of surgical treatment of infectious complications after sternotomy / E.A. Korymasov, S.Yu. Pushkin [et al.]. // Wounds and wound infections. – 2015. - №2 (4). - P. 15-25.

4. Surgery of the chest wall: guide /A.A. Vishnevsky, S.S. Rudakov, N.O. Milanov [et al.]. – M.: Publishing house Vidar. – M., 2005. – 312 p.

5. Shevchenko A.A. Analysis of postoperative osteomyelitis of the sternum and sternomediastinitis / A.A. Shevchenko, N.G. Zhila, E.A. Kashkarov //Far Eastern medical journal. – 2017. -№1. – P.30-33.

6. Yue-Dong Shi. Treatment of sternal wound infections after open-heart surgery / Shi YueDong, Qi Fa-Zhi, Zhang Yong //Asian Journal of Surgery. -2014. - №37. – P. 24 – 29.


Review

For citations:


Shevchenko A.A., Kashkarov E.A., Zhila N.G., Koshevoy A.V. Clinical case of successful application of reosteosynthesis sternum in chronic postoperative sternomediastinitis. Yakut Medical Journal. 2019;(3):119-121. https://doi.org/10.25789/YMJ.2019.67.33

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ISSN 1813-1905 (Print)
ISSN 2312-1017 (Online)