Surgical treatment of patients with descending purulent mediastinitis

The aim of the study was to improve results treatment patients with descending purulent mediastinitis by means individualized surgical tactics priority use minimally invasive interventions and developed methods drainage mediastinum pleural cavity. Examination 73 receiving in department thoracic surgery Ivano-Frankivsk regional clinical hospital carried out. Treatment main group included intramediastinal administration antibiotics, method cascade cavity, video-assisted thoracoscopy aimed at anticipating spread process mediastinum. rapid reliable decrease indices endogenous intoxication confirms effectiveness mediastinitis, adequate sanation mediastinatis, complete removal substrate from allowed reducing overall postoperative mortality 26.3% comparison 11.4% patients.