ANALYSIS OF THE TREATMENT OF POSTOPERATIVE OSTEOMYELITIS OF THE STERNUM AND STERNOMEDIASTINITIS
The authors analyzed the treatment of postoperative osteomyelitis, and of sternomediastinitese - complications after surgical interventions using transsternal access. Found that among first-admitted patients with purulent pathology of the anterior chest wall due to sternal access, dominated by patients with limited postoperative fistulous forms of osteomyelitis of the sternum and the most common acute sternomediastinitese. Listed on the appropriateness of surgical treatment of postoperative osteomyelitis of the sternum and sternomediastinitese in two stages: the first stage to remove ligatures and curettage of the sternum with necrectomy; the second stage to produce insulating resection of the sternum with a plastic replacement of wound defect with a muscle flap to supply the «leg» or a flap of the greater omentum.