ABSTRACT
No disponible
Subject(s)
Humans , Female , Aged , Torsion, Mechanical , Pneumonectomy/methods , Thoracic Surgery, Video-Assisted , Postoperative Complications , Early DiagnosisSubject(s)
Axilla , Neurilemmoma , Soft Tissue Neoplasms , Humans , Male , Middle Aged , Neurilemmoma/diagnosis , Soft Tissue Neoplasms/diagnosisABSTRACT
Acute poststernotomy mediastinitis is a serious complication of cardiac surgery and is associated with high mortality. Conservative treatment with local debridement, irrigating-suction systems, and specific antibiotic therapy is sometimes inadequate. Omentoplasty is occasionally used for reconstruction and the treatment of various chest diseases. This useful procedure is most often indicated for suppurative processes and radionecrosis, to complement myoplasty, or to cover a chest wall prosthesis. When used to treat poststernotomy mediastinitis secondary to cardiac surgery, omentoplasty improves control of infection and prognosis. We describe 2 cases of poststernotomy mediastinitis secondary to cardiac revascularization surgery in which omentoplasty was an effective treatment. Excellent control of infection was achieved.
Subject(s)
Coronary Artery Bypass , Mediastinitis/etiology , Omentum/surgery , Postoperative Complications , Adult , Aged , Humans , Male , Mediastinitis/microbiology , Mediastinitis/surgery , Sternum/microbiology , Sternum/surgeryABSTRACT
La esternomediastinitis aguda es una complicación grave que puede aparecer tras intervenciones de cirugía cardíaca y que presenta una elevada mortalidad. El tratamiento conservador mediante curas locales, sistemas de drenaje-lavado y uso de antibióticos específicos es a veces insuficiente. La omentoplastia, ocasionalmente utilizada en la reconstrucción y tratamiento de diferentes enfermedades torácicas, es un procedimiento útil, que tiene su mayor indicación en procesos supurativos, radionecrosis, complemento a mioplastias y protección de prótesis de pared torácica. Su utilización en el tratamiento de la esternomediastinitis secundaria a cirugía cardíaca ayuda al control de la infección y mejora la evolución de los pacientes. Presentamos 2 casos de esternomediastinitis secundaria a cirugía de revascularización miocárdica en los que la omentoplastia ha sido un tratamiento efectivo, consiguiendo excelentes resultados en el control de la infección
Acute poststernotomy mediastinitis is a serious complication of cardiac surgery and is associated with high mortality. Conservative treatment with local debridement, irrigating-suction systems, and specific antibiotic therapy is sometimes inadequate. Omentoplasty is occasionally used for reconstruction and the treatment of various chest diseases. This useful procedure is most often indicated for suppurative processes and radionecrosis, to complement myoplasty, or to cover a chest wall prosthesis. When used to treat poststernotomy mediastinitis secondary to cardiac surgery, omentoplasty improves control of infection and prognosis. We describe 2 cases of poststernotomy mediastinitis secondary to cardiac revascularization surgery in which omentoplasty was an effective treatment. Excellent control of infection was achieved
