Cardiac Surgery Unit, Cardiovascular Department, Manzoni Hospital, Lecco, Italy.
Cardiac Surgery Unit, Cardiovascular Department, Manzoni Hospital, Lecco, Italy.
Ann Thorac Surg. 2014 May;97(5):1816-8. doi: 10.1016/j.athoracsur.2013.09.043.
Mediastinitis is a serious complication of cardiac surgical procedures, with high rates of morbidity and mortality. We describe a new simple surgical technique to treat deep sternal infection based on the removal of all wires and deep sutures, and reapproximation of the sternum with four external plates without rewiring. Fourteen patients were treated with this technique. No complications related to the procedure occurred, the infection was successfully treated in all patients, and only 1 patient underwent vacuum treatment to obtain healing of the wound.
纵隔炎是心脏外科手术的严重并发症，具有较高的发病率和死亡率。我们描述了一种新的简单外科技术，该技术基于去除所有钢丝和深部缝线，并使用 4 个外部钢板重新接近胸骨而无需重新布线，来治疗深部胸骨感染。该技术治疗了 14 名患者。没有与该手术相关的并发症发生，所有患者的感染均成功治愈，只有 1 名患者接受了真空治疗以获得伤口愈合。
