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The use of vacuum therapy in the treatment of post-surgery sternomediastinitis: the first practice

https://doi.org/10.17238/PmJ1609-1175.2017.2.77-79

Abstract

The description of the early sternomediastinitis after the bypass surgery oin the patient aged 69 years old. Complication was the reason for using an open method of management with negative pressure therapy in combination with antibacterial treatment. A foam sponge was used as an absorbent material. A negative pressure of -70 mm Hg was created by using an aspirator. The bandage was changed every 3-4 days. A rapid growth of granulating tissue, a significant reduction in the wound surface, and an improvement in the patient>s emotional state were noted. Dismissed from the hospital in a satisfactory condition on the 14th day after the beginning of the use of vacuum suction drainage system. The application of skin seams was not required due to complete wound closure with granulations with the formation of a full scab of the anterior thoracic wall.

About the Authors

A. A. Furgal
Pacific State Medical University; Medical Centre of Far Eastern Federal University
Russian Federation


S. P. Schava
Medical Centre of Far Eastern Federal University
Russian Federation


M. A. Kapustin
Medical Centre of Far Eastern Federal University
Russian Federation


L. N. Polkina
Medical Centre of Far Eastern Federal University
Russian Federation


A. A. Silaev
Medical Centre of Far Eastern Federal University
Russian Federation


V. A. Sorokin
Pacific State Medical University; National University Heart Centre
Russian Federation


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Review

For citations:


Furgal A.A., Schava S.P., Kapustin M.A., Polkina L.N., Silaev A.A., Sorokin V.A. The use of vacuum therapy in the treatment of post-surgery sternomediastinitis: the first practice. Pacific Medical Journal. 2017;(2):77-79. (In Russ.) https://doi.org/10.17238/PmJ1609-1175.2017.2.77-79

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ISSN 1609-1175 (Print)