title: [Utility of omentoplasty for poststernotomy mediastinitis secondary to myocardial revascularization surgery].
abstract: Acute poststernotomy mediastinitis is a serious complication of cardiac surgery and is associated with high mortality. Conservative treatment with local debridement, irrigating-suction systems, and specific antibiotic therapy is sometimes inadequate. Omentoplasty is occasionally used for reconstruction and the treatment of various chest diseases. This useful procedure is most often indicated for suppurative processes and radionecrosis, to complement myoplasty, or to cover a chest wall prosthesis. When used to treat poststernotomy mediastinitis secondary to cardiac surgery, omentoplasty improves control of infection and prognosis. We describe 2 cases of poststernotomy mediastinitis secondary to cardiac revascularization surgery in which omentoplasty was an effective treatment. Excellent control of infection was achieved.
authors: Servicio de Cirugía Torácica, Hospital Clínico Universitario, Valladolid, Spain. quirojo@hotmail.com
authors: Jorge
authors: J
authors: Quiroga Martínez
authors: Javier
authors: J
authors: Gualis Cardona
authors: Begoña
authors: B
authors: Gregorio Crespo
authors: Sara
authors: S
authors: Cabanyes Candela
authors: Angel
authors: A
authors: Cilleruelo Ramos
authors: José Luis
authors: JL
authors: Duque Medina
mesh_terms: D000328:Adult; D000368:Aged; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D009852:Omentum / Q000601:surgery*; D011183:Postoperative Complications; D013249:Sternum / Q000382:microbiology / Q000601:surgery