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Kokhan E.P.

FGU "3-ĭ Tsentral'nyĭ voenno-klinicheskiĭ gospital' im. A.A. Vishnevskogo" Minoborony Rossii, Krasnogorsk

Aleksandrov A.S.

Gosudarstvennyĭ institut usovershenstvovaniia vracheĭ MO RF;
3-ĭ Tsentral'nyĭ voenno-klinicheskiĭ gospital' im. A.A. Vishnevskogo

The diagnostics and treatment of the postoperative mediastinitis

Authors:

Kokhan E.P., Aleksandrov A.S.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2011;(9): 22‑26

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Table of contents

THE DIAGNOSTICS AND TREATMENT OF THE POSTOPERATIVE MEDIASTINITIS
THE DIAGNOSTICS AND TREATMENT OF THE POSTOPERATIVE MEDIASTINITIS

To cite this article:

Kokhan EP, Aleksandrov AS. The diagnostics and treatment of the postoperative mediastinitis. Pirogov Russian Journal of Surgery. 2011;(9):22‑26. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Treatment results of 48 patients with mediastinitis after the open cardiac surgery were analyzed. The main mediastinitis risk factors were: the chronic obstructive lung desease, diabetes mekkitus, severe cardiac insufficiency, prolonged operation, the use of artificial blood circulation and sterna instsbility. Major infective agents of mediastinitis were the Gram-positive cocci. The treatment options varied from the prolonged antibiotic therapy to plastic reconstructive surgery, which were determined by the severity of mediastinitis.

Keywords:

mediastinitis
risk factors
surgery

Authors:

Kokhan E.P.

FGU "3-ĭ Tsentral'nyĭ voenno-klinicheskiĭ gospital' im. A.A. Vishnevskogo" Minoborony Rossii, Krasnogorsk

Aleksandrov A.S.

Gosudarstvennyĭ institut usovershenstvovaniia vracheĭ MO RF;
3-ĭ Tsentral'nyĭ voenno-klinicheskiĭ gospital' im. A.A. Vishnevskogo

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References:

  1. Akchurin R.S., Shiryaev A.A., Galyautdinov D.M., Dolgov I.M. Profilaktika i lechenie infektsionnykh oslozhnenii pri revaskulyarizatsii miokarda. Grudnaya khir 1992; 5-6: 9-11.
  2. Kuzin M.I., Kaidash A.N., Krastin O.A. Lechenie gnoinogo perednego mediastinita posle operatsii v usloviyakh iskusstvennogo krovoobrashcheniya u bol'nykh revmaticheskimi porokami serdtsa. Khirurgiya 1984; 4: 3-11.
  3. Podosinnikov A.S., Belov Yu.V. Khondrit reber kak oslozhnenie gnoinogo mediastinita posle sredinnoi sternotomii. Grudnaya khir 1984; 1: 70-74.
  4. Abboud C.S., Wey S.B. et al. Risk factors for mediastinitis after cardiac surgery. Ann Thorac Surg 2004; 77: 2: 676-683.
  5. Castello J.R., Centella T. et al. Muscle flap reconstruction for the treatment of major sternal wound infections after cardiac surgery: a 10-year analysis. Scand J Plast Reconstr Surg Hand Surg 1999; 33: 1: 17-24.
  6. El Oakley R., Paul E. et al. Mediastinitis in patients undergoing cardiopulmonary bypass: risk analysis and midterm results. J Cardiovasc Surg (Torino) 1997; 38: 6: 595-600.
  7. Fleck T.M., Koller R. et al. Primary or delayed closure for the treatment of poststernotomy wound infections? Ann Plast Surg 2004; 52: 3: 310-314.
  8. Robicsek F., Daugherty H.K. et al. The prevention and treatment of sternum separation following open-heart surgery. J Thorac Cardiovasc Surg 1977; 73: 2: 267-268.
  9. Upton A., Roberts S.A. et al. Staphylococcal post-sternotomy mediastinitis: five year audit. ANZ J Surg 2005; 75: 4: 198-203.
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