The diagnostics and treatment of the postoperative mediastinitis
Kokhan, E.P.; Aleksandrov, A.S.
Khirurgiia 9: 22-26
2011
ISSN/ISBN: 0023-1207 PMID: 22413155 Document Number: 653411
Treatment results of 48 patients with mediastinitis after the open cardiac surgery were analyzed. The main mediastinitis risk factors were: the chronic obstructive lung desease, diabetes mekkitus, severe cardiac insufficiency, prolonged operation, the use of artificial blood circulation and sterna instsbility. Major infective agents of mediastinitis were the Gram-positive cocci. The treatment options varied from the prolonged antibiotic therapy to plastic reconstructive surgery, which were determined by the severity of mediastinitis.