Modern approaches to surgical treatment of the postoperative sternomediastinitis
Literature review is devoted to the topical problem of cardiovascular, thoracic and plastic surgery -- surgical treatment of patients with sternal suture failure in combination with the arisen infectious complications in the field of postoperative sternotomy wound causing formation of the chest wall defects. The severity of this disease is due to high risk of purulent complications and a considerable mortality. The review presents the main etiological factors leading to the emergence of postoperative sternomediastinitis, clinical features, provides a detailed description of the surgeon's tactics in the framework of the concept of a phased approach to surgical treatment of sternomediastinitis, describes the main methods of reconstructive plastic surgery in the area of the formed defect of the chest wall in the depth of the lesion and localization of the osteomyelitic process and identifies areas for improving surgical treatment of this category of patients.