NEGATIVE PRESSURE IN THE TREATMENT OF WOUND INFECTIOUS COMPLICATIONS IN THE TREATMENT OF STERNO-MEDIASTINITIS AFTER CARDIAC SURGERY IN CHILDREN UNDER 1 YEAR



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Abstract

Aim of the study. To evaluate the results of treatment of sterno- mediastinitis using vacuum therapy in patients of the first year of life. Material and methods. The study included 25 children under the age of 1 year who had undergone cardiac surgery from median sternotomy in the period from August 2013 to August 2016 on the basis of the E.N. Meshalkin National Medical Research Center, , complicated by infection of the wound. Results. Vacuum therapy in the treatment of sterno-mediastinitis was used in 25 infants, aged 103 (average) (9 ÷ 167) days. Superficial infection developed in 10 (40%) patients, deep infection - in 15 (60%) children. The average duration of vacuum therapy was 6.9 (3 ÷ 8) days. The average time of artificial lung ventilation was 147 (12 ÷ 176) hours, the duration of treatment in the intensive care unit was 7.6 (3.2 ÷ 8.6) days. Complications were present in 7 (28%) patients and included multiple organ failure (8%), isolated renal dysfunction (12%), bleeding (4%), relapse of infection (4%). 2 (8%) patients died due to symptoms of severe multiorgan failure. The average length of the hospital stay was of 30 (23 ÷ 38) days. Conclusions. Vacuum therapy can be successfully used for the treatment of sterno-mediastinitis in children of the first year of life as also an excellent alternative to the traditional treatment method.

About the authors

S. M. Ivantsov

E.N. Meshalkin National Medical Research Center

Author for correspondence.
Email: noemail@neicon.ru
Россия

I. A. Soinov

E.N. Meshalkin National Medical Research Center

Email: i_soynov@mail.ru
Россия

Yu. Yu. Kulyabin

E.N. Meshalkin National Medical Research Center

Email: noemail@neicon.ru
Россия

N. R. Nichay

E.N. Meshalkin National Medical Research Center

Email: noemail@neicon.ru
Россия

A. V. Voitov

E.N. Meshalkin National Medical Research Center

Email: noemail@neicon.ru
Россия

A. V. Gorbatykh

E.N. Meshalkin National Medical Research Center

Email: noemail@neicon.ru
Россия

A. V. Zubritsky

E.N. Meshalkin National Medical Research Center

Email: noemail@neicon.ru
Россия

Yu. N. Gorbatykh

E.N. Meshalkin National Medical Research Center

Email: noemail@neicon.ru
Россия

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