![](/images/graphics-bg.png)
Open Reduction Internal Fixation Poststernotomy Mediastinitis
Joint Authors
Sinno, Hani
Dionisopoulos, Tassos
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-17
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-481690