title: [Management of post-sternotomy mediastinitis in cardiac patients].
abstract: Post-sternotomy mediastinitis is a severe complication of cardiac surgery and accompanied by high mortality and cost of treatment. To date, there are no large clinical trials defining treatment of these patients. In this study the authors offer early postoperative wound sanitation, use of vacuum drainage in all cases and surgical repair with local tissues. Sternal destruction is cured by osteosynthesis with wire sutures and perforated metal plates. Proposed algorithm showed low incidence of reccurent wound infection, mortality and duration of treatment.
authors.affiliation: Kazan Medical University, Kazan, Russia; Kazan Medical University, Kazan, Russia.
authors.forename: V A
authors.initials: VA
authors.lastname: Gorbunov
authors.affiliation: Kazan Medical University, Kazan, Russia; Kazan Medical University, Kazan, Russia.
authors.forename: R K
authors.initials: RK
authors.lastname: Dzhordzhikiya
authors.affiliation: Kazan Medical University, Kazan, Russia.
authors.forename: M N
authors.initials: MN
authors.lastname: Mukharyamov
authors.affiliation: Kazan Medical University, Kazan, Russia.
authors.forename: I I
authors.initials: II
authors.lastname: Vagizov
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008480:Mediastinitis / Q000209:etiology / Q000628:therapy*; D012307:Risk Factors; D056346:Sternotomy / Q000009:adverse effects*; D013249:Sternum; D013530:Surgical Wound Infection; D016896:Treatment Outcome