INFECTIOUS COMPLICATIONS OF STERNOTOMY APPROACH IN CARDIAC SURGERY PRACTICE: COMPARATIVE ANALYSIS OF VARIOUS TREATMENT'S METHODS
https://doi.org/10.17238/PmJ1609-1175.2018.1.59-61
Abstract
From July 2014 to July 2017, 498 surgical interventions for the heart were performed at the Cardiosurgery and Vascular Surgery Center of the MC of the FEFU using transsternal access. Infectious complications associated with the sternotoma wound were recorded in 6 (1.2 %), including sternomediastinitis - in 4 people (0.8 %o) over 60 years old. Two patients with sternomediastinitis were treated with the classical open method and two patients with vacuum aspiration in a constant mode with a pressure of -70 mm Hg. Art. With vacuum therapy, the normalization of leukocyte and C-reactive protein levels in the blood occurred on average in 10 days, and in patients treated with the open method, these indicators reached the norm on the 17th and 20th days, respectively. The complete sanitation of the wound (negative result of bacterial swab test) with vacuum aspiration was recorded on the 15th, and with the classical method of treatment -on the 20th day. With vacuum aspiration, the average length of stay in the hospital was 60, and with open treatment, 75 days.
About the Authors
A. A. Furgal
Тихоокеанский государственный медицинский университет; Дальневосточный федеральный университет
Russian Federation
Russian Federation
V. A. Sorokin
Тихоокеанский государственный медицинский университет; Кардиологический центр Национального университета Сингапура
Russian Federation
Russian Federation
S. P. Shava
Дальневосточный федеральный университет
Russian Federation
Russian Federation
M. A. Kapustin
Тихоокеанский государственный медицинский университет; Дальневосточный федеральный университет
Russian Federation
Russian Federation
A. V. Furgal
Дальневосточный федеральный университет
Russian Federation
Russian Federation
N. K. Klyshko
Тихоокеанский государственный медицинский университет
Russian Federation
Russian Federation
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Review
For citations:
Furgal A.A., Sorokin V.A., Shava S.P., Kapustin M.A., Furgal A.V., Klyshko N.K. INFECTIOUS COMPLICATIONS OF STERNOTOMY APPROACH IN CARDIAC SURGERY PRACTICE: COMPARATIVE ANALYSIS OF VARIOUS TREATMENT'S METHODS. Pacific Medical Journal. 2018;(1):59-61. (In Russ.) https://doi.org/10.17238/PmJ1609-1175.2018.1.59-61
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