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Treatment of Mediastinitis after Open Heart Surgery Using Negative Pressure Wound Therapy with Irrigation Kazuchika Suzuki 1 , Naoyuki Ishigami 1 , Satoshi Akuzawa 1 1Department of Cardiovascular Surgery, Fujieda Municipal General Hospital Keyword: mediastinitis , negative pressure wound therapy(NPWT) , open heart surgery , vacuum-assisted closure(VAC) pp.916-918
Published Date 2018/10/1
DOI https://doi.org/10.15106/j_kyobu71_916
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Mediastinitis occurs after open heart surgery in a small number of cases. When it occurs, early diagnosis and treatment are important. A 69-year-old male patient suffered from mediastinitis after total aortic arch replacement. He has cured completely by negative pressure wound therapy (NPWT) with irrigation method. The vacuum-assisted closure (VAC) method is very useful for wound repair and has recently been used to treat mediastinitis. However, the use of VAC alone does not always result in complete cure. NPWT with irrigation is a very useful infection control method. Performing NPWT before VAC might contribute to improving the outcomes of mediastinitis treatment. However, it is difficult to decide when to switch from NPWT with irrigation to VAC.


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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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