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Open Reduction Internal Fixation Poststernotomy Mediastinitis
المؤلفون المشاركون
Sinno, Hani
Dionisopoulos, Tassos
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-07-17
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Introduction.
Mediastinitis has been reported to complicate 5% of sternotomy surgery.
We have adopted an open reduction and rigid internal fixation (ORIF) approach during the conventional rescue surgery in the treatment of mediastinitis.
Methods.
A retrospective review was performed to compare the outcomes of patients that had an ORIF to correct postoperative mediastinitis following median sternotomy.
These were compared with the outcome of the patients that did not undergo ORIF.
Results.
In the 5-year study period, we reviewed 35 mediastinitis patient charts.
Postoperatively, the ORIF patient group remained in the Intensive Care Unit (ICU) and on a ventilator for a mean of 1.5 and 0.75 days, respectively.
Patients treated without ORIF spent significantly more days in the ICU (mean of 7.5 days, P<0.05) and on a ventilator (mean of 2.15 days, P=0.1).
Furthermore, it was found that none of the patients (0%) who underwent ORIF complained of any postoperative sternal instability or pain.
Preoperatively, however, these rates were as high as 72%.
Conclusions.
In the select patient, ORIF can be a safe option in the management of mediastinitis, which we have shown to significantly decrease morbidity and mortality by providing anatomic reduction as well as physiologic stabilization.
We have shown that ORIF will improve the quality of life of the patient by minimizing abnormal sternal mobility and pain and will also decrease inpatient costs by decreasing days spent in the ICU and ventilator dependence.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Sinno, Hani& Dionisopoulos, Tassos. 2013. Open Reduction Internal Fixation Poststernotomy Mediastinitis. Plastic Surgery International،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-481690
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Sinno, Hani& Dionisopoulos, Tassos. Open Reduction Internal Fixation Poststernotomy Mediastinitis. Plastic Surgery International No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-481690
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Sinno, Hani& Dionisopoulos, Tassos. Open Reduction Internal Fixation Poststernotomy Mediastinitis. Plastic Surgery International. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-481690
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-481690
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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