Back to Search
Start Over
Descending necrotizing mediastinitis: a challenging infection. Selected results of a Moroccan bicentric study.
- Source :
-
Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska . 2023, Vol. 20 Issue 2, p100-104. 5p. - Publication Year :
- 2023
-
Abstract
- Introduction: Mediastinal infection is a persistent and difficult widespread infectious disease caused by secondary complications of adjacent organs. It spreads easily and is often misdiagnosed because of the lack of typical manifestations. Material and methods: To highlight the clinical features, medical and surgical strategy of descending necrotizing mediastinitis we performed a retrospective study of 25 documented cases during a 10-year period at our hospital, all treated surgically, 10 from the ORL department and 15 from our thoracic surgery department. Results: Patients were aged from 20 to 84 years, with a median age of 41 years, male predominance (19 men and 6 women), sex ratio of 3.6. A cervicotomy (in 40% of cases) was associated or not with videothoracoscopy (one case) or thoracotomy (in 20% of cases) and wide-spectrum antibiotherapy. In the postoperative period, an irrigation-suction system was used on the drains in 15 patients. In 1 case a rethoracotomy was necessary to remove a residual right pyothorax, and one patient required a tracheostomy. Twenty-two (88%) patients recovered from their mediastinitis. Death of 3 patients by sepsis multiorgan failure occurred. Postoperative follow-up during one year was uneventful without recurrence. Conclusions: According to our experience, we believe the more aggressive local treatment is, the better are the results. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 17315530
- Volume :
- 20
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Polish Journal of Thoracic & Cardiovascular Surgery / Kardiochirurgia i Torakochirurgia Polska
- Publication Type :
- Academic Journal
- Accession number :
- 169801781
- Full Text :
- https://doi.org/10.5114/kitp.2023.129541