Background: Mediastinitis is lethal complication and a challenge in post cardiac surgery patients. We aim at evaluation of topical vancomycin by applying it sternal edge prevention deep wound infection.Methods: The group had local application paste prepared mixing 1gm powder 3 ml normal saline stirred until was formed. control reinforced closure technique without application. All cases were fol...

INTRODUCTION Deep sternal wound infection (DSWI) is one of the most serious complications after cardiac surgery procedures, observed in 5% of patients. Current standard medical therapy for DSWI includes antibiotics, surgical debridement, resuturing or negative pressure wound therapy (NPWT). Unfortunately, in some cases these methods are insufficient, and additional therapeutic options are neede...

INTRODUCTION Trans sternal fistula can occur after sternotomy/heart surgery. Diagnosing this can be difficult. PRESENTATION OF CASE In this report, we present a unique case of a patient with infection of an ascending aortic prosthetic graft. This patient was oozing from the wound despite several revisions. Many fistulographies were performed before fistulography with surgeon and radiologist r...

Does the choice of risk-adjustment model influence the outcome of surgeon-specific mortality analysis? A retrospective analysis of 14637 patients under 31 surgeons. The impact of deep sternal wound infection on long-term survival after coronary artery bypass grafting. sternal wound infection after open-heart surgery: a multivariate analysis of risk factors in 2.579 consecutive operative procedu...

BACKGROUND Health-care-acquired infections (HAIs) are a leading cause of morbidity and mortality after cardiac surgery. Prior work has identified several patient-related risk factors associated with HAIs. We hypothesized that rates of HAIs would differ across institutions, in part attributed to differences in case mix. METHODS AND RESULTS We analyzed 20 896 patients undergoing isolated corona...

INTRODUCTION Solitary fibrous tumors are uncommon soft tissue tumors initially reported only in the pleura but, in recent years, they have been described at many extra pleural sites, such as mediastinum. The treatment of choice is the extensive surgical resection that is curative for most benign lesions. PRESENTATION OF THE CASE We present the case of solitary fibrous tumor of the anterior me...