Surgical Management of Sternal Osteo-Chondritis after Median Sternotomy
Resource
中華民國外科醫學會雜誌 v.24 n.3 pp.694-700
Journal
中華民國外科醫學會雜誌,v.24
Journal Issue
n.3
Pages
694-700
Date Issued
1991
Date
1991
Author(s)
LIN, TSUO-WU
CHU, SHU-HSUN
HUNG, CHI-REN
YEN, CHIANG-LONG
Abstract
There were 20 cases of sternal infection after open- heart surgery from Dec. '87 through jan. '89 at National Taiwan University Hospital. 14 cases out of them developed chronic sternal osteochondritis. One of them died of profund sepsis and multiple organ-failures, and another one refused any further operation with a persisted discharging sinus. The other 12 were treated with aggressive debridement, continuous Betadine irrigation of pectoris major turn-over flap tampon according to the extent and chronicity of the infections. Ten cases have good results, the other two have recurrence due to the incomplete resection of the infected cartilage. Knocking tenderness is the most correct indicator of chondritis involvment. The complete debridement and erradication of dead space are the principles of treatment. The turn-over muscle flap tampon is only used in those cases with sternal dead space after debridement, otherwise a Betadine close irrigation is the better choice while the chest cage is still pliable.#C2291002
Subjects
胸骨骨髓炎
肋軟骨炎
開心手術
肌瓣
心血管疾病
手術
STERNAL OSTEOMYSLITIS
RIB CHONDRITIS
OPEN HEART SURGERY MUSCLE FLAP
CARDIOVASCULAR DISEASE
SDGs
Type
journal article