ABSTRACT
The authors share their experiences with diagnosing and surgical treatment of chronic postoperative osteomyelitis of sternum developed in 36 patients after operations on the heart, lungs and organs of mediastinum. The purulent process can be liquidated in all the patients due to performing saving resection of the sternum and plasty of the bone defect with local tissues, application of a gauze-cotton roll pressing the subcutaneous fat into the bone defects formed after treatment of the affected portions of the sternum, administration of antibiotics according to sensitivity of the microflora.
Subject(s)
Osteomyelitis/surgery , Postoperative Complications/surgery , Sternum/surgery , Thoracic Diseases/surgery , Thoracic Surgical Procedures/methods , Adult , Aged , Cartilage/surgery , Chronic Disease , Female , Humans , Male , Middle Aged , Osteomyelitis/microbiology , Postoperative Care/methods , Postoperative Complications/microbiology , Ribs/surgery , Sternum/microbiology , Suture Techniques , Thoracic Diseases/microbiologyABSTRACT
The number of operated on patients who are referred to a commission for expert medical assessment of working capacity is growing at present. Correct expert assessment of the working capacity allows the results of surgery to be reliably consolidated and promotes restoration of working ability. The duration and severity of working ability. The duration and severity of the pulmonary abscess, the method of surgical treatment, the lapse of time after the operation, the course of the restorative processes, complications and concomitant diseases, the degree or respiratory and circulatory insufficiency, the patients' age, profession, and the conditions and character of work are taken into account during examination. Timely and complete treatment and rational choice of occupation are important factors in the prevention of invalidism and enable most patients (86.8%) to resume work in full volume or with limitations as specified by the commission.
Subject(s)
Lung Abscess/surgery , Rehabilitation, Vocational , Adult , Aged , Female , Humans , Lung Abscess/rehabilitation , Male , Middle Aged , Work Capacity EvaluationABSTRACT
Out of 154 patients subjected to a wide opening of the residual cavity 138 patients recovered (89,6%), 11 patients died (7,2%), empyema was not liquidated in 5 patients (3,2%). All the 115 patients who were treated by punctures were cured.
