open drainage

The open drainage method is a traditional method. The advantage of this treatment is that there is no dead space caused by poor drainage, and the infection can be treated at any time. The disadvantages are: 1 patient's pain is greater, the course of disease is larger; 2 sternal movement, chest instability, affecting failure or pulmonary complications; 3 sternum, mediastinum and heart long-term exposure, easy to cause heart sutures and substitutes suffer The threat of secondary infection can often lead to massive bleeding in the heart or aortic incision or endocarditis. Treatment of diseases: empyema osteomyelitis Indication The open drainage method has a high rate of treatment failure. It is currently only suitable for cases in which the mediastinal inflammation occurs in the thoracic cage 2 to 3 weeks after surgery, and in cases with severe osteomyelitis and can not tolerate anesthesia. Contraindications The age of the body is weak, the vital organs such as the heart and lungs are poor, and the surgery does not restore hope. Preoperative preparation Antibiotics are routinely used before surgery. Surgical procedure Open the incision, rinse the wound, remove pus, necrotic soft tissue and bone, loose wire and infected granulation tissue, then use the wet gauze drainage for frequent wound dressing and mediastinum, and use antibiotics to control infection, to be clean granules After the face, the second incision is sutured or the second stage is healed. complication Chest movement, chest instability, affecting failure or pulmonary complications.