Modified method of vacuum therapy in the treatment of infected poststernotomy wounds
Sternal wound infections are a terrible complication that require long and complex treatment.The aim of the study was to evaluate the results of using the modified method of vacuum therapy to treat purulentseptic complications of post-sternotomy wounds in clinical practice.Materials and methods. Acc...
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Siberian State Medical University (Tomsk)
2020-10-01
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| Series: | Бюллетень сибирской медицины |
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| Online Access: | https://bulletin.ssmu.ru/jour/article/view/2988 |
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| author | A. L. Charyshkin A. A. Guryanov |
| author_facet | A. L. Charyshkin A. A. Guryanov |
| author_sort | A. L. Charyshkin |
| collection | DOAJ |
| description | Sternal wound infections are a terrible complication that require long and complex treatment.The aim of the study was to evaluate the results of using the modified method of vacuum therapy to treat purulentseptic complications of post-sternotomy wounds in clinical practice.Materials and methods. According to the applied method of vacuum therapy, all patients with infectious complications of post-sternotomy wounds were divided into two groups (n = 25, average age 56.6 years). The classical vacuum therapy was used in the first group consisting of 12 patients. In the second group, 13 patients were treated with the help of the modified method of vacuum therapy.Results. In the first group, 1 patient (8.3%) experienced osteomyelitis of the sternum, following a partial resection of bone plates; 1 patient (8.3%) developed sternal fistulas, which required long-term treatment; 1 patient (8.3%) had bleeding due to the injury of the left brachiocephalic venous trunk because of the direct contact of the polyurethane pad with the blood vessel wall. The bleeding was eliminated by fixing the damaged area of the vascular wall with U-shaped sutures using polytetrafluoroethylene pads. In the second group, no complications of this nature were observed. The modified method of vacuum therapy allows for the effective evacuation of the hemorrhagic discharge of the wound surface, the reduction of the degree of pathogen contamination in the adjacent tissues, and the elimination of bleeding risk .Conclusion. The modified method of vacuum therapy in combination with effective algorithms for treating purulent-septic complications of post-sternotomy wounds allows physicians to avoid fatal complications and achieve good clinical results. |
| format | Article |
| id | doaj-art-fd554edafcf7401e9dd36e7783ce3e59 |
| institution | DOAJ |
| issn | 1682-0363 1819-3684 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | Siberian State Medical University (Tomsk) |
| record_format | Article |
| series | Бюллетень сибирской медицины |
| spelling | doaj-art-fd554edafcf7401e9dd36e7783ce3e592025-08-20T03:02:03ZengSiberian State Medical University (Tomsk)Бюллетень сибирской медицины1682-03631819-36842020-10-01193899410.20538/1682-0363-2020-3-89-941650Modified method of vacuum therapy in the treatment of infected poststernotomy woundsA. L. Charyshkin0A. A. Guryanov1Ulyanovsk State UniversityUlyanovsk State University; Ulyanovsk Regional Clinical HospitalSternal wound infections are a terrible complication that require long and complex treatment.The aim of the study was to evaluate the results of using the modified method of vacuum therapy to treat purulentseptic complications of post-sternotomy wounds in clinical practice.Materials and methods. According to the applied method of vacuum therapy, all patients with infectious complications of post-sternotomy wounds were divided into two groups (n = 25, average age 56.6 years). The classical vacuum therapy was used in the first group consisting of 12 patients. In the second group, 13 patients were treated with the help of the modified method of vacuum therapy.Results. In the first group, 1 patient (8.3%) experienced osteomyelitis of the sternum, following a partial resection of bone plates; 1 patient (8.3%) developed sternal fistulas, which required long-term treatment; 1 patient (8.3%) had bleeding due to the injury of the left brachiocephalic venous trunk because of the direct contact of the polyurethane pad with the blood vessel wall. The bleeding was eliminated by fixing the damaged area of the vascular wall with U-shaped sutures using polytetrafluoroethylene pads. In the second group, no complications of this nature were observed. The modified method of vacuum therapy allows for the effective evacuation of the hemorrhagic discharge of the wound surface, the reduction of the degree of pathogen contamination in the adjacent tissues, and the elimination of bleeding risk .Conclusion. The modified method of vacuum therapy in combination with effective algorithms for treating purulent-septic complications of post-sternotomy wounds allows physicians to avoid fatal complications and achieve good clinical results.https://bulletin.ssmu.ru/jour/article/view/2988median sternotomysternal infectionpostoperative mediastinitisvacuum therapyreosteosynthesis of the sternum |
| spellingShingle | A. L. Charyshkin A. A. Guryanov Modified method of vacuum therapy in the treatment of infected poststernotomy wounds Бюллетень сибирской медицины median sternotomy sternal infection postoperative mediastinitis vacuum therapy reosteosynthesis of the sternum |
| title | Modified method of vacuum therapy in the treatment of infected poststernotomy wounds |
| title_full | Modified method of vacuum therapy in the treatment of infected poststernotomy wounds |
| title_fullStr | Modified method of vacuum therapy in the treatment of infected poststernotomy wounds |
| title_full_unstemmed | Modified method of vacuum therapy in the treatment of infected poststernotomy wounds |
| title_short | Modified method of vacuum therapy in the treatment of infected poststernotomy wounds |
| title_sort | modified method of vacuum therapy in the treatment of infected poststernotomy wounds |
| topic | median sternotomy sternal infection postoperative mediastinitis vacuum therapy reosteosynthesis of the sternum |
| url | https://bulletin.ssmu.ru/jour/article/view/2988 |
| work_keys_str_mv | AT alcharyshkin modifiedmethodofvacuumtherapyinthetreatmentofinfectedpoststernotomywounds AT aaguryanov modifiedmethodofvacuumtherapyinthetreatmentofinfectedpoststernotomywounds |