Treatment and prevention of sternal infection after longitudinal median sternotomy (MS), even with modern control over compliance with the rules of asepsis and antisepsis, the introduction of the latest antiseptic and antibacterial agents into clinical practice is a difficult task. Post-sternotomy mediastinitis (PSM) is one of the formidable complications and ranges from 0.4% to 17%, with a high mortality rate of 15-47% of cases. Development of ways to reduce and prevent specific (cardiac surgery) postoperative complications is the key to preventing PSM. The results of treatment of 49 patients with PSM (20.8%) are analyzed. Risk factors are determined, a method for preventing PSM - parasternal mini drainage is developed. The tactics of immediate resternotomy, early sternoplasty with the imposition of a flow-washing system against the background of adequate antibiotic therapy is effective in 94.4% of cases. Strengthening control over compliance with the rules of asepsis and antisepsis, the policy of "clean hands", wearing protective masks, disinfection of any surfaces, the emergence and introduction into clinical practice of the latest antiseptic and antibacterial agents made it possible to reduce the frequency of purulent-septic complications from 2.95% to 1.13%.
| Mualliflar | Mirkhodjaev I.I, Turaev Z.F, Turaev F.F |
|---|---|
| Jurnal | Klinik fanlar yilnomasi |
| Nashr sanasi | 2025-08-19 |
| Jild | 2 |
| Son | 2 |
| Til | Rus |
post-sternotomy mediastinitis, purulent-septic complications, mini drainage, послестернотомный медиастенит, гнойно-септические осложнения, мини дренирование, sternotomiyadan keyingi mediastinit, yiringli-septik asoratlar, mini drenaj
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