Development of the concept of complex treatment postoperative sternomediastinitis-Reference-Cited by-同舟云学术

Development of the concept of complex treatment postoperative sternomediastinitis

Published:2022-12-14 Issue:9-10 Volume:100 Page:439-446
ISSN:2412-1339
Container-title:Clinical Medicine (Russian Journal)
language:
Short-container-title:jour

Author:

Bryusov P. G.¹,Lishchuk A. N.²,Potapov V. A.³

Affiliation:

1. Branch of the S.M. Kirov Military Medical Academy in Moscow; The Main Military Clinical Hospital named after Аcademician N.N. Burdenko of the Ministry of Defense of Russia

2. National Medical Research Center of High Medical Technologies — A.A. Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of Russia

3. Branch of the S.M. Kirov Military Medical Academy in Moscow

Abstract

The review describes the evolution of surgical and medical methods of treatment regarding a new nosological formpostoperative sternomediastinitis, which develops against the background of cardiac surgery tremendous upgrowth. The effectiveness of integration a surgical approach with the combined use of vacuum therapy and bacteriophages in the cleansing of the poststernotomy wound, as well as antibiotics and bacteriophages combination in order to control antibiotic-resistant pathogenic flora of the purulent-septic process in the anterior mediastinum, has been shown. Our own material included the treatment of 88 patients with deep sternal infection. The method proposed by the authors made it possible to reduce the duration of treatment and hospital mortality to 5%.

Publisher

Medical Informational Agency Publishers

Subject

General Medicine

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