Development of the concept of complex treatment postoperative sternomediastinitis

The review describes the evolution of surgical and medical methods of treatment regarding a new nosological formpostoperative sternomediastinitis, which develops against the background of cardiac surgery tremendous upgrowth. The effectiveness of integration a surgical approach with the combined use of vacuum therapy and bacteriophages in the cleansing of the poststernotomy wound, as well as antibiotics and bacteriophages combination in order to control antibiotic-resistant pathogenic flora of the purulent-septic process in the anterior mediastinum, has been shown. Our own material included the treatment of 88 patients with deep sternal infection. The method proposed by the authors made it possible to reduce the duration of treatment and hospital mortality to 5%.