HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Cherveniakov, A. Articles by Cherveniakov, P. Search for Related Content PubMed PubMed Citation Articles by Cherveniakov, A. Articles by Cherveniakov, P.

European Journal of Cardio-Thoracic Surgery, Vol 6, 407-410, Copyright © 1992 by European Association for Cardio-thoracic Surgery

ARTICLES

Surgical treatment of acute purulent mediastinitis

A Cherveniakov and P Cherveniakov
Emergency Medical Institute N. I. Pirogov, Sofia, Bulgaria.

During the last 15 years we have treated 147 patients with acute purulent mediastinitis (APM). According to the aetiology of the disease, 2 major groups were defined. The first group included the cases of oesophageal origin--112 patients (dilatation--38 patients, foreign body extraction--29 patients, lye injuries--11 patients, oesophagoscopy--8 patients, sharp foreign body--6 patients). The second group consisted of patients with mediastinitis of non-oesophageal origin--35 patients (tracheo-bronchial disease--21 patients, tooth infection--8 patients, cervical infection). Symptoms of the mediastinal infection were typical; nevertheless, early diagnosis (within first 12 h) was obtained in only 43.5% of cases. Therapy for all patients included general stabilisation, broad spectrum antibiotics and immunotherapy. In 86 patients, mediastinal drainage was performed with additional suture of the oesophageal wall or plication with a gastric or diaphragmatic patch in 9 cases. Oesophagectomy and delayed colon transplant was the method used in 61 patients. Mortality included 21 patients (14.3%). The cause was broncho-pneumonia in 9 patients, endotoxic shock in 7 and renal failure in 3 patients.

This article has been cited by other articles:

				A. Tcherveniakov, P. Tchalakov, and P. Tcherveniakov Traumatic and iatrogenic lesions of the trachea and bronchi Eur. J. Cardiothorac. Surg., January 1, 2001; 19(1): 19 - 24. [Abstract] [Full Text] [PDF]

				P. D. Kiernan, A. Hernandez, W. D. Byrne, R. Bloom, B. Dicicco, V. Hetrick, P. Graling, and B. Vaughan Descending Cervical Mediastinitis Ann. Thorac. Surg., May 1, 1998; 65(5): 1483 - 1488. [Abstract] [Full Text] [PDF]