Surgical treatment of postoperative sternomediastinitis
https://doi.org/10.25789/YMJ.2021.73.29
Abstract
The literature data on the historical stages of the treatment of postoperative sternomediastinitis were studied. At the initial stages, surgeons carried out open treatment of chest wounds, then treated with the flow-lavage system, with both methods accompanied by a high incidence of complications and mortality. Subsequently, specialists began to use actively the surgical method of treatment in combination with volumetric reconstructive operations as the wound was cleared, which contributed to a decrease in the mortality rate (from 50 to 5.1%) from such formidable complications of cardiac surgery as postoperative sternomediastinitis. However, the likelihood of complications of trans-sternal access and recurrence of infection persists regardless of the preventive measures taken during cardiac surgery, which indicates the expediency of active development of innovative approaches to the complex treatment of the pathology under consideration.
About the Authors
A. A. Shevchenko
Surgery FESMU
Russian Federation
Russian Federation
Shevchenko Alexandr Alexandrovich - candidate of medical Sciences, associate Professor of the Department
phone 8-914-770-34-77
N. G. Zhila
Saint Petersburg state pediatric medical University
Russian Federation
Russian Federation
Zhila Nikolai Grigorievich: doctor of medical Sciences, Professor of department of surgical diseases of childhood
N. I. Boyarintsev
Far Eastern State Medical University
Russian Federation
Russian Federation
Boyarintsev Nikolay Ivanovich - doctor of medical sciences, professor, Deputy Head of the Department of Oncology, Surgery and Endoscopy
8-924-156-45-54
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Review
For citations:
Shevchenko A.A., Zhila N.G., Boyarintsev N.I. Surgical treatment of postoperative sternomediastinitis. Yakut Medical Journal. 2021;(1):111-115. https://doi.org/10.25789/YMJ.2021.73.29
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