Journal of Chest Surgery

  • 제39권9호
  • /
  • Pages.699-701
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  • 2006
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
권호 표지

개선된 노우드 수술 후 신생아에서 발생한 종격동염의 Vacuum Assisted Closure를 이용한 치료

Successful Application of Vacuum Assisted Closure in the Case of Neonatal Mediastinitis after Modified Norwood Operation

  • 김도훈 (성균관대학교 의과대학 삼성서울병원 흉부외과) ;
  • 양지혁 (성균관대학교 의과대학 삼성서울병원 흉부외과) ;
  • 최진호 (성균관대학교 의과대학 삼성서울병원 흉부외과) ;
  • 전태국 (성균관대학교 의과대학 삼성서울병원 흉부외과)
  • Kim Do-Hun (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University of Medicine) ;
  • Yang Ji-Hyuk (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University of Medicine) ;
  • Choi Jin-Ho (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University of Medicine) ;
  • Jun Tae-Gook (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University of Medicine)
  • 발행 : 2006.09.01
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초록

복잡 심기형 수술 후 종격동염과 흉골 감염은 비교적 흔하게 발생한다. 대부분의 환자군이 신생아 또는 영아이고, 조직 내의 저산소증이 동반되어 있으므로 상처치유가 늦고 침습적인 치료방법을 적용하기도 어렵다. 본 증례에서는 개선된 노우드 수술(modified Norwood operation) 이후 발생한 종격동염에 대하여 vacuum assisted closure를 이용하여 성공적으로 치료하였기에 1예를 보고하는 바이다.

Mediastinitis and sternal wound infection frequently occurred after corrective surgery for complex heart anomalies. Most of the patients are neonate or infant and they have showed low oxygen tension. For that poor condition, application of invasive treatment of mediastinitis is not appropriate and recovery takes a long time. We successfully treated a mediastinitis after Norwood operation using vacuum assisted closure. So we introduce the technique and the modification of neonatal vacuum assisted closure.

키워드

참고문헌

  1. Chang WH, Huh K, Park YW, Kim HJ, Jeong YS, Youm W. Vacuum-assisted closure in treatment of poststernotomy wound infection and mediastinitis: three cases report. Korean J Thorac Cardiovasc Surg 2002;35:166-9
  2. Jayant PA, Michael O, Liza C. Vacuum-assisted closure for sternal wounds: a first-line therapeutic management approach. Plast Reconstr Surg 2005;116:1035-40 https://doi.org/10.1097/01.prs.0000178401.52143.32
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