ОТРИЦАТЕЛЬНОЕ ДАВЛЕНИЕ В ТЕРАПИИ РАНЕВЫХ ИНФЕКЦИОННЫХ ОСЛОЖНЕНИЙ ПОСЛЕ КАРДИОХИРУРГИЧЕСКИХ ОПЕРАЦИЙ У ДЕТЕЙ В ВОЗРАСТЕ ДО 1 ГОДА

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Детская хирургия. Журнал им. Ю.Ф. Исакова. 2019; 23: 68-71

ОТРИЦАТЕЛЬНОЕ ДАВЛЕНИЕ В ТЕРАПИИ РАНЕВЫХ ИНФЕКЦИОННЫХ ОСЛОЖНЕНИЙ ПОСЛЕ КАРДИОХИРУРГИЧЕСКИХ ОПЕРАЦИЙ У ДЕТЕЙ В ВОЗРАСТЕ ДО 1 ГОДА

Иванцов С. М., Сойнов И. А., Кулябин Ю. Ю., Ничай Н. Р., Войтов А. В., Горбатых А. В., Зубрицкий А. В., Горбатых Ю. Н.

https://doi.org/10.18821/1560-9510-2019-23-2-68-71

Аннотация

Список литературы

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Russian Journal of Pediatric Surgery. 2019; 23: 68-71

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

Ivantsov S. M., Soinov I. A., Kulyabin Yu. Yu., Nichay N. R., Voitov A. V., Gorbatykh A. V., Zubritsky A. V., Gorbatykh Yu. N.

https://doi.org/10.18821/1560-9510-2019-23-2-68-71

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.

References

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4. Ivantsov S.M., Soinov I.A., Omel'chenko A. Yu., Nichai N. R., Kulyabin Yu. Yu., Gorbatykh A. V., Voitov A. V., Gorbatykh Yu.N. VAC-terapiya: novyi metod lechenie mediastinitov u novorozhdennykh detei. Meditsinskii al'manakh. 2016 2 102-4.doi: http://dx.doi.org/10.21145/2499-9954-2016-2-102-104

6. Erez E, Katz M, Sharoni E, et.al. Pectoralis major muscle flap for deep sternal wound infection in neonates. Ann Thorac Surg 2000;69:572-7.doi: http://dx.doi.org/10.1016/S0003-4975(99)01075-9

9. Argenta L.C., Morykwas M.J. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997 Jun;38(6):563-76. doi: 10.1201/b17524-48

12. Caniano DA, Ruth B, Teich S. Wound management with vacuum assisted closure: experience in 52 pediatric patients. J. Ped Surg 2005;40:128-32.doi: 10.1016/j.jpedsurg.2004.09.016

14. Kornilov I.A., Sinel'nikov Yu.S., Soinov I.A., Kshanovskaya M.S., Ponomarev D.N., Matyushov V.N., Gorbatykh A.V., Gorbatykh Yu.N. Otsenka riska pochechnykh i nevrologicheskikh oslozhnenii u novorozhdennykh detei posle rekonstruktsii aorty. Patologiya krovoobrashcheniya i kardiokhirurgiya. 2015; 19 (1): 84-9.doi: http://dx.doi.org/10.21688/1681-3472-2015-1-84-89

ОТРИЦАТЕЛЬНОЕ ДАВЛЕНИЕ В ТЕРАПИИ РАНЕВЫХ ИНФЕКЦИОННЫХ ОСЛОЖНЕНИЙ ПОСЛЕ КАРДИОХИРУРГИЧЕСКИХ ОПЕРАЦИЙ У ДЕТЕЙ В ВОЗРАСТЕ ДО 1 ГОДА

Аннотация

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

Abstract

События

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