Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Irrigation-suction System for Management of Deep Sternal Wound Infection after Open Heart Surgery -Four cases-

개심술 후 발생한 심부 흉골 창상감염의 세척-흡입법을 이용한 치험 -4예 보고-

  • 김상익 (을지의과대학 부속병원 흉부외과) ;
  • 오상준 (을지의과대학교 을지병원 흉부외과)
  • Published : 2003.06.01
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Abstract

Deep sternal wound infection (with or without acute mediastinitis) is a serious complication of open heart surgery, with high rates of associated morbidity and mortality, and prolonged hospitallization. The result of treatment largely depends on timely diagnosis and appropriate surgical management. Postoperative deep sternal wound infections in 4 cases were successfully treated with extensive debridement, pressurized jet irrigation with antibiotic solution, sternal refixation by Robicsek method, and dilute antibiotic irrigation via irrigation-suction system. We report 4 cases with review of articles.

개심술 후 발생하는 심부 흉골 창상감염(급성 종격동염)은 아주 심각한 합병증으로 높은 이환율, 사망률, 그리고 입원기간의 연장을 보인다 치료 결과는 주로 흉골 창상감염의 조기 진단과 적절한 외과적 조치에 의존한다. 개심술 후 심부 흉골 창상감염을 보였던 4예에서 광범위한 변연절제술, 항생제 용액의 높은 압력 하 세척, Robicsek방식에 의한 흉골의 재 고정, 항생제 용액을 사용한 세척-흡입법을 통해 성공적인 치료를 하였기에 문헌 고찰과 함께 보고한다.

Keywords

References

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