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Mediastinal infection after cardiac operation. A simple closed technique
Y Durandy1, A Batisse, P Bourel
1Centre Médico-Chirurgical de la Porte de Choisy, Department of Cardiac Surgery, Paris, France.
The Journal of Thoracic and Cardiovascular Surgery
|February 1, 1989
Summary
This study shows that a simple closed drainage method effectively treats deep sternal infections after surgery. All 11 patients recovered fully without additional procedures, highlighting a successful, comfortable treatment option.
Area of Science:
- Infectious Diseases
- Surgical Techniques
- Wound Management
Background:
- Deep sternal infection is a serious complication following orthopedic surgery.
- Effective treatment strategies are crucial for patient recovery and minimizing morbidity.
Purpose of the Study:
- To evaluate the efficacy of a simple closed drainage method for treating deep sternal infections.
- To assess patient outcomes and comfort using this specific technique.
Main Methods:
- A closed drainage system utilizing Redon devices with strong negative pressure (700 mm Hg) was employed.
- The technique involved meticulous wound débridement followed by catheter drainage, without irrigation.
- The method was applied to 11 patients diagnosed with deep sternal infection.
Main Results:
- Complete recovery was achieved in all 11 patients.
- No additional surgical interventions were required post-drainage.
- The maximum duration for drainage was 24 days.
- Optimal patient comfort was reported throughout the treatment period.
Conclusions:
- The simple closed drainage method is a highly effective and safe treatment for deep sternal infections.
- This technique offers a non-surgical approach leading to excellent patient outcomes and comfort.
- The Redon drainage device provides a viable alternative for managing complex surgical site infections.