| Autor: |
Takuya Ohashi, Mitsumasa Kawago, Fuminori Ota, Yoshimitsu Hirai, Megumi Kiyoi, Miwako Miyasaka, Yumi Yata, Mari Kawaji, Aya Fusamoto, Hideto Iguchi, Hitomi Nakanishi, Takahito Nakaya, Yuki Fujiwara, Yoshiharu Nishimura |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Journal of Surgical Case Reports. 2022 |
| ISSN: |
2042-8812 |
| DOI: |
10.1093/jscr/rjac237 |
| Popis: |
Descending necrotizing mediastinitis (DNM) is a severe, life-threatening disease and requires prompt treatment. The primary treatment for DNM is cervical and mediastinal drainage in addition to antibiotic treatment. However, the most appropriate drainage approach and the effectiveness of additional treatment remain unclear. In this study, we performed cervical and mediastinal drainage for three patients with type IIB DNM using the cervical approach alone. Continuous saline irrigation was administered as additional treatment. There is little evidence for the use of saline irrigation for DNM. We propose that this combination treatment may be more effective and has the potential to improve patient prognosis. In our report, the average drainage duration was 13 days, and the average hospital stay was 30 days. Furthermore, both drainage duration and hospital stay were shorter than those in previously reported cases. Our case series provides valuable insight into the use of combination treatment to treat DNM. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
