[Descending necrotising mediastinitis - surgical management]. / Descendentní nekrotizující mediastinitida - chirurgická lécba.
Rozhl Chir
; 91(7): 362-7, 2012 Jul.
Article
em Cs
| MEDLINE
| ID: mdl-23078253
ABSTRACT
INTRODUCTION:
Descending necrotising mediastinitis (DNM) is a less common form of infection in the mediastinum caused by downward spread from the cervical, oral and pharyngeal regions. MATERIAL ANDMETHODS:
We retrospectively evaluate a group of patients who underwent surgical management of DNM at our department between 2007 and 2011.RESULTS:
We operated on 7 patients (1 female, 6 males) with the mean age of 56.3 years. In 3 cases the infection was of odontogenic origin and in 4 cases of tonsillar origin. Except for one patient with permanent immunosuppression, after kidney transplantation, swab culture showed the original, inciting pathogen to be Streptococcus in all cases; as for anaerobic organisms it was mostly Fusobacterium. In all cases we performed external cervical drainage and mediastinal drainage through a cervical approach. In 3 cases it was necessary to perform mediastinal drainage through thoracotomy. Mean hospital stay was 45.7 days, 30-day mortality was zero.CONCLUSION:
The results confirm a better prognosis of DNM compared to mediastinitis caused by oesophageal perforation or oesophageal surgery complication.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Mediastinite
Tipo de estudo:
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Cs
Revista:
Rozhl Chir
Assunto da revista:
GINECOLOGIA
/
OBSTETRICIA
Ano de publicação:
2012
Tipo de documento:
Article