In:
Jornal Brasileiro de Pneumologia, FapUNIFESP (SciELO), Vol. 34, No. 9 ( 2008-09), p. 654-660
Abstract:
OBJECTIVE: To evaluate the impact of an aggressive treatment approach using muscle flaps or omentopexy in infections of the sternum and anterior mediastinum following sternotomy on mortality, as compared to that of a conservative treatment approach. METHODS: Data were collected prior to, during and after the surgical procedures. Group A (n = 44) included patients submitted to conservative treatment-debridement together with resuture or continuous irrigation with polyvinylpyrrolidone-iodine solutions, or even with second-intention wound healing (retrospective data). Group B (n = 9) included patients in whom infection was not resolved with conservative treatment, and who therefore underwent aggressive treatment (intermediate phase). Group C (n = 28) included patients primarily submitted to aggressive treatment (prospective data). RESULTS: Postoperative hospital stays were shorter in the patients submitted to aggressive treatment (p 〈 0.046). There were 7 deaths in group A, 1 in group B, and 2 in group C. However, the classical level of significance of α = 0.05 was not reached. CONCLUSION: Aggressive treatment also proved to be effective when the infection was not resolved with conservative treatment. These findings demonstrate that the proposed treatment provides excellent results.
Type of Medium:
Online Resource
ISSN:
1806-3713
DOI:
10.1590/S1806-37132008000900004
Language:
Unknown
Publisher:
FapUNIFESP (SciELO)
Publication Date:
2008
detail.hit.zdb_id:
2223157-2
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