The use of vacuum therapy in the treatment of post-surgery sternomediastinitis: the first practice

Written by Furgal A.A., Schava S.P., Kapustin M.A., Polkina L.N., Silaev A.A., Sorokin V.A.

  UDK: 617.541-06:616.9-085:533.5 | Pages: 77–79 | Full text PDF | Open PDF 


The description of the early sternomediastinitis after the bypass surgery oin the patient aged 69 years old. Complication was the reason for using an open method of management with negative pressure therapy in combination with antibacterial treatment. A foam sponge was used as an absorbent material. A negative pressure of –70 mm Hg was created by using an aspirator. The bandage was changed every 3–4 days. A rapid growth of granulating tissue, a significant reduction in the wound surface, and an improvement in the patient›s emotional state were noted. Dismissed from the hospital in a satisfactory condition on the 14th day after the beginning of the use of vacuum suction drainage system. The application of skin seams was not required due to complete wound closure with granulations with the formation of a full scab of the anterior thoracic wall.

Links to authors:

A.A. Furgal1, S.P. Schava1, M.A. Kapustin1, L.N. Polkina1, A.A. Silaev1,
V.A. Sorokin1, 2
1 Pacific State Medical University (2 Ostryakova Ave. Vladivostok 690950 Russian Federation),
2 Medical Centre of Far Eastern Federal University (8 Sukhanova St. Vladivostok 690950 Russian Federation),
3 National University Heart Centre (NUHS Tower Block Level 9, 1E Kent Ridge Road 119228 Singapore).

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