Vacuum-assisted closure for postcardiac surgery mediastinitis in a patient on hemodialysis

被引：2

作者：

Noji S. ^{[1
]}

Yuda A. ^{[1
]}

Tatebayashi T. ^{[1
]}

Kuroda M. ^{[2
]}

机构：

[1] Department of Cardiovascular Surgery, Higashiyamato Hospital, Higashiyamato, Tokyo 207-0014

[2] Department of Plastic Surgery, Higashiyamato Hospital, Tokyo

来源：

General Thoracic and Cardiovascular Surgery | 2009年 / 57卷 / 4期

关键词：

Mediastinitis; Vacuum-assisted closure (VAC);

D O I：

10.1007/s11748-008-0368-y

中图分类号：

学科分类号：

摘要：

A 66-year-old man on hemodialysis underwent off-pump coronary artery bypass grafting. He was discharged in good condition on postoperative day (POD) 16. A high-grade fever and a purulent discharge emerged on POD 30. Methicillin-resistant Staphylococcus aureus was identified by culturing material from the wound. On admission, vacuum-assisted closure (VAC) therapy was applied for 80 days. Finally, good wound healing allowed us to perform simple wound closure without using muscle flaps or omentoplasty. VAC therapy is a useful and safe procedure for postcardiac surgery mediastinitis. © 2009 The Japanese Association for Thoracic Surgery.

引用

页码：217 / 220

页数：3

共 8 条

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