Postoperative sternomediastinitis. Programmed three-stage surgical treatment tactics
Abstract
The aim is to improve the results of treatment of patients with postoperative sternomediastinitis and restoration of the skeletal function of the chest using the method of three–stage surgical tactics: phased programmed sequestrectomy – active aspiration – partial thoracomyoplasty with vacuum aspiration.
Material and methods. To perform a study in order to evaluate the results of treatment, a cohort model was selected, with a retrospective and prospective analysis of the medical records of 31 patients of the Department of Thoracic Surgery of the Bashkir State Medical University Clinic in Ufa. They were diagnosed with postoperative sternomediastinitis, hospitalization period from 2020 to 2023.
The study uses descriptive statistics, the Mann-Whitney criterion to assess differences between small samples, the Kendall correlation coefficient. Reliability was assessed using the significance level (p) at 95%.
Conclusion. Programmed stepwise sequestrectomy and vacuum aspiration is a need in the treatment of sternomediastinitis.
Final partial thoracomyoplasty followed by vacuum aspiration allows closing the sternum defect without performing large plastic surgery and avoiding the chest frame function disturbance, and, respectively, severe respiratory failure.
About the Authors
E. Yu. Ionis
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
V. V. Plechev
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
A. M. Avzaletdinov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
R. G. Fatikhov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
A. A. Bakirov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
R. R. Shavaleev
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
A. I. Gimazova
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
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Review
For citations:
Ionis E.Yu., Plechev V.V., Avzaletdinov A.M., Fatikhov R.G., Bakirov A.A., Shavaleev R.R., Gimazova A.I. Postoperative sternomediastinitis. Programmed three-stage surgical treatment tactics. Bashkortostan Medical Journal. 2024;19(4):8-12. (In Russ.)
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