[Early omental transposition for postoperative sterno-mediastinitis].
We report 3 successful cases of postoperative sterno-mediastinitis treated with single-stage procedure. 2 of them were infected with MRSA (Methicillin resistant staphylococcus aureus), and the other was with klebsiella pneumoniae. Neither open drainage nor irrigation were performed previously, but only administrations of sensitive antibiotics. Intensive debridement, irrigation and omental transposition were performed at one time, between 6 and 15 days from the diagnosis. It could achieve decrease of hospitalization. We recommend early single-stage procedure with omental transposition for postoperative sterno-mediastinitis before extension and aggravation of the infection.
Kuroyama
N
N
Department of Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Hamamatsu.
Sakai
A
A
Hattori
T
T
Hanayama
N
N
Oosawa
M
M
D000368:Aged; D006348:Cardiac Surgical Procedures; D002675:Child, Preschool; D003646:Debridement; D006801:Humans; D007249:Inflammation / Q000601:surgery; D007710:Klebsiella Infections / Q000601:surgery*; D007711:Klebsiella pneumoniae; D008297:Male; D008480:Mediastinitis / Q000601:surgery*; D009852:Omentum / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D013203:Staphylococcal Infections / Q000601:surgery*; D013249:Sternum; D007507:Therapeutic Irrigation