Surgical treatment of sternal osteomyelitis and sternomediastinitis following cardiac surgery

Shevchenko A.A.; Topalov K.P.; Zhila N.G.; Kashkarov E.A.

doi:https://doi.org/10.17116/hirurgia202109134

A.A. Shevchenko

Far Eastern State Medical University;
Sergeyev Regional Clinical Hospital No. 1

K.P. Topalov

Sergeyev Regional Clinical Hospital No. 1

N.G. Zhila

Saint Petersburg State Pediatric Medical University

E.A. Kashkarov

Sergeyev Regional Clinical Hospital No. 1

Surgical treatment of sternal osteomyelitis and sternomediastinitis following cardiac surgery

Authors:

A.A. Shevchenko, K.P. Topalov, N.G. Zhila, E.A. Kashkarov

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(9): 34‑39

DOI: 10.17116/hirurgia202109134

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To cite this article:

Shevchenko AA, Topalov KP, Zhila NG, Kashkarov EA. Surgical treatment of sternal osteomyelitis and sternomediastinitis following cardiac surgery. Pirogov Russian Journal of Surgery. 2021;(9):34‑39. (In Russ.)
https://doi.org/10.17116/hirurgia202109134

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

Использование инфографики авторами научных работ

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OBJECTIVE

To analyze the incidence of cardiac surgeries and postoperative sternal osteomyelitis/sternomediastinitis, as well as treatment outcomes in these patients.

MATERIAL AND METHODS

We summarized 171 patients with postoperative sternal osteomyelitis and sternomediastinitis.

RESULTS

Organization of the Khabarovsk center for cardiovascular surgery in the Far Eastern Federal District was followed by 7.9- and 24.9-fold increase of the number of cardiac surgeries and CABG in 2005—2019, respectively. As a result, the number of patients with sternal osteomyelitis and sternomediastinitis after cardiac surgery increased from 0.50±0.10 to 1.59±0.17 cases per 100.000 (t=3.01; p<0.01). CPB and aortic clamping time (t=3.97; p<0.01), as well as surgery time (t=2.4; p<0.05) were significant risk factors of early postoperative complications. Two-stage surgical treatment of postoperative sternal osteomyelitis and sternomediastinitis (removal of ligatures and foreign bodies, sternal curettage with removal of sequesters at the first stage; resection of sternum with chest wall repair at the second stage) reduced hospital-stay from 31.9±13.4 to 29.2±10.8 days.

Keywords:

postoperative sternal osteomyelitis

sternomediastinitis

purulent infection

thoracic surgery

Authors:

A.A. Shevchenko

Far Eastern State Medical University;
Sergeyev Regional Clinical Hospital No. 1

K.P. Topalov

Sergeyev Regional Clinical Hospital No. 1

N.G. Zhila

Saint Petersburg State Pediatric Medical University

E.A. Kashkarov

Sergeyev Regional Clinical Hospital No. 1

Received:

17.09.2020

Accepted:

07.12.2020

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References:

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