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العنوان
Risk factors and management of deep sternal wound infection after pediatric cardiac surgery /
المؤلف
Abou Fandoud, Ahmed Abd El-Aal.
هيئة الاعداد
باحث / أحمد عبد العال أبو فندود
مشرف / محمد ليثى أحمد
مشرف / أحمد لبيب دخان
مشرف / مدحت رضا ناشى
الموضوع
Congenital heart disease in children - Surgery. Heart Defects, Congenital - Surgery. Pediatric cardiology. Heart Surgery.
تاريخ النشر
2016.
عدد الصفحات
121 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
الناشر
تاريخ الإجازة
24/4/2016
مكان الإجازة
جامعة المنوفية - كلية الطب - الجراحة العامة
الفهرس
Only 14 pages are availabe for public view

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Abstract

In pediatric cardiac surgery, infection is a leading cause of morbidity and mortality. The spectrum of sternal wound infection after cardiac surgery ranges from superficial infection (which involves only skin or subcutaneous tissue) to fulminate mediastinitis with subsequent involvement of the sternum (sternal dehiscence and osteomyelitis) and organ tissues outside the incision.Midline sternotomy is still the incision of choice in cases undergoing open heart surgery for correction of their congenital cardiac lesions. Early diagnosis of mediastinitis and the implementation of an effective treatment strategy are required to avoid mortality among these patients. Despite the frequency with which the median sternotomy incision is used in pediatric cardiovascular surgery, few reports have discussed the diagnosis, management, and treatment strategy of mediastinitis in children. The purpose of our study was to study risk factors, and evolving management strategy for pediatric postoperative cardiac surgery patients who have been diagnosed with deep sternal wound infection. This study was carried out to assess risk factors and their impact on mortality and management of deep sternal wound infection after pediatric cardiac surgery. The study included 30 patients, they were 16 males (53.33%) and 14 females (46.67%) ”Male: Female ratio = 1.14:1”. Their ages ranged from 70days to 11 years (Mean ± SD = 2.383± 2.565). Their weights ranged from 3.800 – 36 Kg. (Mean ± SD = 9.993±6.761). Two patients gave history of prematurity.