Postoperative sterno-mediastinitis.

摘要: Postoperative sterno-mediastinitis is a life-threatening complication that occurs in about 0.75 to 1.4 per cent of all open heart operations. The result treatment largely depends on timely diagnosis and appropriate surgical management. Risk factors for infection should be corrected preoperatively whenever possible. Among other preventive measures, meticulous asepsis, atraumatic technique, preserving the blood supply mechanical integrity sternum, prevention sternal instability, correction same if it are most important. management tailored individual clinical features patients. Clearly cases with nonpurulent sternomediastinitis no soft tissue or bone necrosis (type 1) may treated reopening, drainage, stabilization, primary closure. Virulent infections II) best handled several days management, debridement then secondary closure viable (usually muscle) flaps. Chronic, smoldering III) usually managed muscle-flap coverage.