Usefulness of Wound Bed Preparation Using Negative Pressure Wound Therapy for Mediastinitis with Artificial Graft Infection

  • Ogino Akihiro
    Department of Plastic and Reconstructive Surgery, Toho University Medical Center Omori Hospital
  • Nakamichi Miho
    Department of Plastic and Reconstructive Surgery, Toho University Medical Center Omori Hospital
  • Takeda Kei
    Department of Plastic and Reconstructive Surgery, Toho University Medical Center Omori Hospital
  • Takayama Momoko
    Department of Plastic and Reconstructive Surgery, Toho University Medical Center Omori Hospital
  • Onishi Kiyoshi
    Department of Plastic and Reconstructive Surgery, Toho University Medical Center Omori Hospital
  • Kameda Tooru
    Department of Cardiovascular Surgery, Toho University Medical Center Omori Hospital
  • Fujii Takeshirou
    Department of Cardiovascular Surgery, Toho University Medical Center Omori Hospital

Bibliographic Information

Other Title
  • 人工血管感染を伴う縦隔炎に対するNPWTを用いた創傷管理の有用性

Description

<p> Mediastinitis with artificial graft infection is difficult to treat and is a serious complication that may result in death. In principle, removal of the infected artificial graft and replacement surgery are considered, but removal may be difficult due the level of difficulty and invasiveness. We performed wound bed preparation using negative-pressure wound therapy and infection control by two-stage reconstructive surgery after sufficient debridement for mediastinitis with artificial graft infection.<br> We consider removal and replacement of the infected artificial graft, but if it is difficult due to problems, such as the general condition of the patient, it is important to completely cover the artificial graft with omental and muscle flaps after the infection subsides and sufficient wound bed preparation is obtained.</p>

Journal

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Details 詳細情報について

  • CRID
    1390567172584050560
  • NII Article ID
    130007921321
  • DOI
    10.11310/jsswc.11.169
  • ISSN
    1884880X
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
    • Crossref
  • Abstract License Flag
    Disallowed

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