| Title |
Pūlinio mediastinito gydymo taukinės pakėlimu vėlyvieji rezultatai / |
| Translation of Title |
The role of greater omentum in treating poststernotomy mediastinitis: long-term results. |
| Authors |
Kundrotas, Gediminas ; Jarašūnas, Jonas ; Markevičiūtė, Barbora ; Jakumaitė, Vilija |
| DOI |
10.15388/LietChirur.2010.1.2123 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2010, t. 8, Nr. 1, p. 35-41.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
median sternotomy ; mediastinitis ; omental transposition ; greater omentum |
| Abstract [eng] |
Background /objective Greater omentum has an amorphic shape, large size, and excellent vascularization. These characteristics make it ideal for use in reconstruction of large contaminated spaces. The aim of this article is to describe and evaluate long-term results of poststernotomy mediastinitis treatment by transposition of the greater omentum. Methods On the average 4.3 years after transposition of the greater omentum, six patients were asked about their complaints, an inspection was performed and they completed the SF-36 health survey. Four patients with known preoperative spirometry results repeated the test. Results Four of six patients feel chest pain, five of six feel symptoms of chest instability, and five of six had a history of herniation after the transposition of the greater omentum. All the patients had a lower than average life quality. All the patients had lower FEV1 and FVC values compared to the preoperative ones. Conclusions Patients treated by the transposition of the greater omentum more often feel pain, symptoms of chest instability, are prone to herniation, have restrictive respiratory insufficiency and a lower life quality. Omental flap transposition is an effective though damaging method of treatment. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2010 |
| CC license |
|
