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Lednev P.V.

Otdelenie kardiokhirurgii kliniki aortal'noĭ i serdechno-sosudistoĭ khirurgii Pervogo MGMU im. I.M. Sechenova

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Eremenko A.A.

Otdelenie kardioreanimatsii i intensivnoĭ terapii FGBU RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Stonogin A.V.

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

Lysenko A.V.

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

Salagaev G.I.

Chair of Cardiovascular Surgery and Interventional Cardiology, I.M. Sechenov First Moscow State Medical University (head — MD R.N. Komarov), acad. B.V. Petrovsky Russian Research Center for Surgery (director — acad. of RAS Yu.V. Belov), Moscow, Russia

Postoperative sternomediastinitis management

Authors:

Lednev P.V., Belov Yu.V., Eremenko A.A., Stonogin A.V., Lysenko A.V., Salagaev G.I.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2017;(12): 75‑77

DOI: 10.17116/hirurgia20171275-77

Views: 543

Downloaded: 9

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To cite this article:

Lednev PV, Belov YuV, Eremenko AA, Stonogin AV, Lysenko AV, Salagaev GI. Postoperative sternomediastinitis management. Pirogov Russian Journal of Surgery. 2017;(12):75‑77. (In Russ.)
https://doi.org/10.17116/hirurgia20171275-77

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Keywords:

mediastinitis
postoperative sternomediastinitis
deep sternal infection

Authors:

Lednev P.V.

Otdelenie kardiokhirurgii kliniki aortal'noĭ i serdechno-sosudistoĭ khirurgii Pervogo MGMU im. I.M. Sechenova

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Eremenko A.A.

Otdelenie kardioreanimatsii i intensivnoĭ terapii FGBU RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Stonogin A.V.

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

Lysenko A.V.

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

Salagaev G.I.

Chair of Cardiovascular Surgery and Interventional Cardiology, I.M. Sechenov First Moscow State Medical University (head — MD R.N. Komarov), acad. B.V. Petrovsky Russian Research Center for Surgery (director — acad. of RAS Yu.V. Belov), Moscow, Russia

List of references:

  1. Gummert JF, Barten MJ, Hans C, Kluge M, Doll N, Walther T, et al. Mediastinitis and cardiac surgery — an updated risk factor analysis in 10,373 consecutive adult patients. Thorac Cardiovasc Surg. 2002;50(2):87-91. https://doi.org/10.1055/s-2002-26691
  2. Vishnevskii AA, Pechetov AA. Asimmetrichnaya sternotomiya kak faktor riska v razvitii posleoperatsionnogo sternomediastinita. Grudnaya i serdechno-sosudistaya khirurgiya. 2012;(2):19-23. (In Russ.)
  3. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC definitions for nosocomial infections, 1988. Am J Infect Control. 1988;16(3):128-140.
  4. Losanoff JE, Richman BW, Jones JW. Disruption and infection of median sternotomy: a comprehensive review. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. 2002;21(5):831-839.
  5. Akchurin RS, Shiryaev AA, Galyautdinov DM, Dolgov IM. Profilaktika i lechenie infektsionnykh oslozhnenii pri revaskulyarizatsii miokarda. Grudnaya khirurgiya. 1992;(5):9-11. (In Russ.)
  6. Singh K, Anderson E, Harper JG. Overview and management of sternal wound infection. Semin Plast Surg. 2011;25(1):25-33. https://doi.org/10.1055/s-0031-1275168
  7. Durandy Y, Batisse A, Bourel P, Dibie A, Lemoine G, Lecompte Y. Mediastinal infection after cardiac operation. A simple closed technique. J Thorac Cardiovasc Surg. 1989;97(2):282-285.
  8. Berg HF, Brands WG, van Geldorp TR, Kluytmans-VandenBergh FQ, Kluytmans JA. Comparison between closed drainage techniques for the treatment of postoperative mediastinitis. Ann Thorac Surg. 2000;70(3):924-929.
  9. Kirsch M, Mekontso-Dessap A, Houël R, Giroud E, Hillion ML, Loisance DY. Closed drainage using redon catheters for poststernotomy mediastinitis: results and risk factors for adverse outcome. Ann Thorac Surg. 2001;71(5):1580-1586.
  10. Mekontso Dessap A, Vivier E, Girou E, Brun-Buisson C, Kirsch M. Effect of time to onset on clinical features and prognosis of post-sternotomy mediastinitis. Clin Microbiol Infect Off Publ Eur Soc Clin Microbiol Infect Dis. 2011;17(2):292-299. https://doi.org/10.1111/j.1469-0691.2010.03197.x
  11. Vos RJ, van Putte BP, Sonker U, Kloppenburg GTL. Primary closure using Redon drains for the treatment of post-sternotomy mediastinitis. Interact Cardiovasc Thorac Surg. 2014;18(1):33-37. https://doi.org/10.1093/icvts/ivt385
  12. Fuchs U, Zittermann A, Stuettgen B, Groening A, Minami K, Koerfer R. Clinical outcome of patients with deep sternal wound infection managed by vacuum-assisted closure compared to conventional therapy with open packing: a retrospective analysis. Ann Thorac Surg. 2005;79(2):526-531. https://doi.org/10.1016/j.athoracsur.2004.08.032
  13. Luckraz H, Murphy F, Bryant S, Charman SC, Ritchie AJ. Vacuum-assisted closure as a treatment modality for infections after cardiac surgery. J Thorac Cardiovasc Surg. 2003;125(2):301-305. https://doi.org/10.1067/mtc.2003.74
  14. Doss M, Martens S, Wood JP, Wolff JD, Baier C, Moritz A. Vacuum-assisted suction drainage versus conventional treatment in the management of poststernotomy osteomyelitis. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. 2002;22(6):934-938.

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