Vacuum-therapy of postoperative sternomediastinitis

Ruzmatov T.M.; Efendiev V.U.; Boboshko A.V.; Malakhov E.S.; Nesmachnyĭ A.S.; Razumakhin R.A.; Kareva Iu.E.; Cherniavskiĭ A.M.

doi:https://doi.org/10.17116/hirurgia2015814-17

Ruzmatov T.M.

Institut khirurgii im. A.V. Vishnevskogo Minzdravsotsrazvitiia RF, Moskva

Efendiev V.U.

Center for Aortic and Coronary Surgery of Federal State Institution "acad. E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology", Russian Ministry of Health, Novosibirsk, Russia

Boboshko A.V.

FGBU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava RF

Malakhov E.S.

Acad. E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Russian Health Ministry

Nesmachnyĭ A.S.

FGBU Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniĭ im. akad. E.N. Meshalkina Minzdrava Rossii

Razumakhin R.A.

Acad. E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Russian Health Ministry

Kareva Iu.E.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia imeni akademika E.N. Meshalkina Ministerstva zdravookhraneniia i sotsial'nogo razvitiia Rossiĭskoĭ Federatsii

Cherniavskiĭ A.M.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Vacuum-therapy of postoperative sternomediastinitis

Authors:

Ruzmatov T.M., Efendiev V.U., Boboshko A.V., Malakhov E.S., Nesmachnyĭ A.S., Razumakhin R.A., Kareva Iu.E., Cherniavskiĭ A.M.

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Journal: Pirogov Russian Journal of Surgery. 2015;(8): 14‑17

DOI: 10.17116/hirurgia2015814-17

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To cite this article:

Ruzmatov TM, Efendiev VU, Boboshko AV, et al. . Vacuum-therapy of postoperative sternomediastinitis. Pirogov Russian Journal of Surgery. 2015;(8):14‑17. (In Russ.)
https://doi.org/10.17116/hirurgia2015814-17

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Aim. To estimate the results of sternomediastinitis management using vacuum-therapy compared with conventional treatment of such wounds. Material and methods. We have retrospectively analyzed data for the period from January 2007 to October 2014. The study enrolled 79 patients with infectious complication after cardiac surgery. All patients underwent coronary artery bypass grafting. The first group included 40 patients who received conventional therapy. The second group enrolled 39 patients in whom vacuum-therapy was applied. Patients were comparable in main characteristics. Results. Mortality rate was significantly lower in vacuum-therapy group (2.5% vs. 15%, p=0.05). Similarly duration of hospital-stay in the 2nd group was 29±10 days, in the 1st group - 47±11 days (p<0.01). Incidence of sepsis and other complications was significantly higher in group of conventional treatment. Conclusion. Vacuum-therapy for infectious complications after cardiac surgery provided good results including decrease of hospital-stay duration and mortality rate in comparison with conventional management of wounds.

Keywords:

vacuum-therapy

sternomediastinitis

wound infection

sternotomy

Authors:

Ruzmatov T.M.

Institut khirurgii im. A.V. Vishnevskogo Minzdravsotsrazvitiia RF, Moskva

Efendiev V.U.

Center for Aortic and Coronary Surgery of Federal State Institution "acad. E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology", Russian Ministry of Health, Novosibirsk, Russia

Boboshko A.V.

FGBU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava RF

Malakhov E.S.

Acad. E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Russian Health Ministry

Nesmachnyĭ A.S.

FGBU Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniĭ im. akad. E.N. Meshalkina Minzdrava Rossii

Razumakhin R.A.

Acad. E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology, Russian Health Ministry

Kareva Iu.E.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia imeni akademika E.N. Meshalkina Ministerstva zdravookhraneniia i sotsial'nogo razvitiia Rossiĭskoĭ Federatsii

Cherniavskiĭ A.M.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

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