[The diagnostics and treatment of the postoperative mediastinitis].

Abstract

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.

• Authors: E P Kokhan, A S Aleksandrov
• Journal: Khirurgiia (Khirurgiia (Mosk)) Issue 9 Pg. 22-6 ( 2011) ISSN: 0023-1207 [Print] Russia (Federation)
• PMID: 22413155 (Publication Type: English Abstract, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Anti-Bacterial Agents (therapeutic use)
• Cardiac Surgical Procedures (adverse effects, methods)
• Comorbidity
• Echocardiography
• Extracorporeal Circulation (adverse effects)
• Female
• Gram-Positive Cocci (drug effects, isolation & purification)
• Humans
• Intraoperative Complications (etiology)
• Male
• Mediastinitis (diagnosis, etiology, therapy)
• Middle Aged
• Postoperative Complications (etiology, therapy)
• Plastic Surgery Procedures (methods)
• Risk Factors
• Severity of Illness Index
• Treatment Outcome