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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2017, Number 1

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Cir Card Mex 2017; 2 (1)

Tratamiento quirúrgico para la mediastinitis postoperatoria

Rodríguez-Durán LE, Arellano-Juárez L, Lezama-Urtecho CA, Alvarez-Sánchez LM, Garcia-Andrade R

Language: Spanish
References: 10
Page: 5-8
PDF size: 136.42 Kb.


ABSTRACT

Objective. Establish the results of treatment in our center and determine the optimal treatment at different stages of postsurgical mediastinitis.
Material and methods. This study is retrospective descriptive transversal comprised of January 1, 2014 to august 31, 2015 in Hospital General Gaudencio González Garza, Centro Médico Nacional La Raza.
Results. Multiple sternal reconstructions were performed, from the simplest primary closure of the sternum and management with drains, washed continuous and placement of VAC system in cases of medium intensity, and in severe cases sternectomy with use of omentum flap and advancement of pectoral muscles with favorable results. Nine patients died of sepsis, 2 more noncardiac causes, and 19 patients with appropriate resolution and return to normal daily activities.
Conclusions. The various techniques of sternal reconstruction have mixed results. However, it often requires a stepwise handling thereof for optimum resolution. In addition, adequate hemodynamic management, infection control, preservation of renal function and optimal nutritional techniques are necessary.


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