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Vinokurov I.A.

Petrovsky Russian Research Center of Surgery;
Sechenov First Moscow State Medical University

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Tagabilev D.G.

Petrovsky Russian Research Center of Surgery

Pathogenetic treatment of postoperative sternomediastinitis

Authors:

Vinokurov I.A., Belov Yu.V., Tagabilev D.G.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(6): 103‑107

DOI: 10.17116/hirurgia2023061103

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Table of contents

PATHOGENETIC TREATMENT OF POSTOPERATIVE STERNOMEDIASTINITIS
PATHOGENETIC TREATMENT OF POSTOPERATIVE STERNOMEDIASTINITIS

To cite this article:

Vinokurov IA, Belov YuV, Tagabilev DG. Pathogenetic treatment of postoperative sternomediastinitis. Pirogov Russian Journal of Surgery. 2023;(6):103‑107. (In Russ.)
https://doi.org/10.17116/hirurgia2023061103

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:

Sternotomy is the most common surgical approach for cardiac surgery. Incidence of postoperative sternal diastasis and wound suppuration ranges from 0.11 to 10%. We present a variant of one-stage surgical treatment of patients with these postoperative complications. Surgical tactics and features of postoperative period are described in detail. Pathogenetic approach to the treatment is substantiated. This approach can be used in patients with aseptic diastasis of the sternum and sternomediastinitis.

Keywords:

cardiac surgery
sternotomy
sternomediastinitis
pectoralis major muscle grafting
sternum diastasis

Authors:

Vinokurov I.A.

Petrovsky Russian Research Center of Surgery;
Sechenov First Moscow State Medical University

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Tagabilev D.G.

Petrovsky Russian Research Center of Surgery

Received:

23.11.2022

Accepted:

08.12.2022

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References:

  1. Kohan EP, Alexandrov AS. Postoperative mediastinitis. Diagnosis and Treatment. Khirurgiya. Zhurnal im. N.I. Pirogova. 2011;9:22-26. (In Russ.).
  2. Morgante A, Romeo F. Deep sternal wound infections: a severe complication after cardiac surgery. Il Giornale di chirurgia. 2017;38(1):33-36. 
  3. Filsoufi F, Castillo JG, Rahmanian PB, et al. Epidemiology of deep sternal wound infection in cardiac surgery. J Cardiothorac Vasc Anesth. 2009;23:488-494.  https://doi.org/10.1053/j.jvca.2009.02.007
  4. Belov YuV, Podosinnikov AS, Shabalkin BV. Purulent mediastinitis in surgery for coronary heart disease. Bulletin of Surgery I.I. Grekov. 1983;131(11):14-17. (In Russ.).
  5. Baillot R, Cloutier D, Montalin L, et al. Impact of deep sternal wound infection management with vacuum-assisted closure therapy followed by sternal osteosynthesis: a 15-year review of 23,499 sternotomies. Eur J Cardiothorac Surg. 2010;37:880-887.  https://doi.org/10.1016/j.ejcts.2009.09.023
  6. Eyileten Z, Akar AR, Eryilmaz S, et al. Vacuum-assisted closure and bilateral pectoralis muscle flaps for different stages of mediastinitis after cardiac surgery. Surg Today. 2009;39:947-945.  https://doi.org/10.21037/jtd.2019.12.76
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