Successful Treatment of Mediastinitis after Cardiovascular Surgery Using Electrolyzed Strong Acid Aqueous Solution

Hideaki Hayashi, Keiji Kumon, Naoki Yahagi, Masaki Haruna, Yasuhiko Watanbe, Junki Matsui, Reiji Hattori

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DOI: 10.1111/j.1525-1594.1997.tb00697.x DOI is the universal ID for this study.

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Abstract:

Dilute povidone-iodine solution has been widely used as an irrigant for the treatment of mediastinitis. However, its use is not without adverse effects and often cause? poor growth of pinulation tissues. To avoid the problems seen with the use of povidone-iodine solution, we applied electrolyzed strong acid aqueous solution (ESAAS) to mediastinal irrigation in 4 patients (2 infants and 2 adults) who developed mediastinitis after cardiovascular surgery. According to the “open” method, the mediastinal wound was left open and irrigated with ESAAS 1 to 3 times a day until the infection was eradicated. Satisfactory growth of granulation tissues was observed in all patients treated with no evidence of adverse effects attributable to ESAAS. Delayed primary sternum closure was performed for 2 patients. and musculocutaneous transposition of rectus abdominis for 1. Our experience suggests that irrigation with ESAAS is a safe and effective method of therapy for mediastinitis. Keg Words: Electrolyzed strong acid aqueous solution—Mediastinitis—Median sternotomy—Povidone-iodine— Cardiovascular surgery—Postoperative complication.

Publish Year 1997
Country Japan
Rank Positive
Journal Artificial Organs
Primary Topic Whole Body
Secondary Topic Surgery/Transplantation
Model Human
Tertiary Topic Pathogenic Bacterial Load
Vehicle Saline (Electrolysis)
pH Acidic
Application Irrigation
Comparison
Complement