Title |
Stafilokokinio anatoksino vartojimas pooperacinėms žaizdoms gydyti: klinikinio atvejo aprašymas / |
Translation of Title |
Staphylococcal anatoxin in treatment of surgical wounds: case report. |
Authors |
Šemetienė, Giedrė ; Uždavinytė-Gatelienė, Eglė ; Uždavinys, Giedrius |
DOI |
10.15388/LietChirur.2010.3.2114 |
Full Text |
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Is Part of |
Lietuvos chirurgija.. Vilnius : Lietuvos chirurgų asociacija. 2010, t. 8, nr. 3, p. 186-189.. ISSN 1392-0995 |
Keywords [eng] |
Staphylococcal anatoxin ; Imunization |
Abstract [eng] |
Postoperative mediastinitis after coronary artery by-pass grafting operations is a rare but threatening complication, causing a high mortality, complicated treatment with a number of additional surgical procedures, long in-hospital stay, several times higher treatment costs. The modern methods of treatment not always enable to achieve desirable results, that is why sometimes it is reasonable to think of old and even forgotten methods of treatment, which might be highly effective in some cases. We present a case of a patient ill with coronary artery disease and three-vessel pathology, who underwent a coronary artery by-pass grafting operation (5 grafts) in our clinic and developed a postoperative complication – mediastinitis, which needed 8 months of in-hospital stay. The patient was discharged from the hospital with a sternal fistula, which persisted for 12 months more despite the complex treatment. Only treatment with staphylococcal anatoxin enabled a closure of the fistula within 2 months. Immunization with staphylococcal anatoxin – the method that is no longer used in modern cardiac surgery – might be a perfect alternative when standard treatment fails. |
Published |
Vilnius : Lietuvos chirurgų asociacija |
Type |
Journal article |
Language |
Lithuanian |
Publication date |
2010 |
CC license |
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