A rational approach to wound difficulties after sternotomy: the problem
| Autor: | Thomas J Francel, Nicholas T Kouchoukos |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Reoperation
Pulmonary and Respiratory Medicine Sternum medicine.medical_specialty medicine.medical_treatment Surgical Flaps Computed tomographic law.invention Software Design law Humans Surgical Wound Infection Medicine Prospective Studies Wound Healing business.industry Mediastinum medicine.disease Mediastinitis Single surgeon Surgery medicine.anatomical_structure Gram staining Median sternotomy Radiology Presentation (obstetrics) Cardiology and Cardiovascular Medicine business Complication Bone Wires |
| Zdroj: | The Annals of Thoracic Surgery. 72:1411-1418 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/s0003-4975(00)02008-7 |
| Popis: | One hundred fifty-one patients with mediastinitis after median sternotomy were treated by a single surgeon over a 6-year period. The infections were analyzed in regard to the depth of infection, time of presentation, and the mediastinal defect. Preoperative evaluations included computed tomographic (CT) scans, testing for sternal stability, and the level of contamination. Intraoperative evaluations included bone, inflammatory tissues, Gram stain, and cultures. Treatment options included rewire procedures (20 patients), immediate reconstruction (63 patients), or delayed reconstructions (88 patients). The issues of exposed prosthetic material, right ventricular laceration, long-term intravenous antibiotics, Candida infections, and reexploration of the healed mediastinum after flap reconstruction are discussed. The overall approach to postoperative healing difficulties after sternotomy is examined. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|