[Treatment of recurrent traumatic sternomediastinitis after cardiac surgery].

Objective: To assess the possibilities of omentoplasty for prevention of complications after redo sternum osteosynthesis for traumatic rupture.
Material and Methods: The study included 53 patients with recurrent sternal diastasis. Greater omentum was additionally implanted in 19 (35.8%) cases to improve healing and reduce the risk of infectious complications. In 34 patients, redo osteosynthesis was carried out using a metal wire and deployment of irrigation-aspiration system. In 19 patients, omentoplasty was additionally used to close the wound.
Results: Omentoplasty was characterized by less duration of lavage (7.4±1.5 vs. 4.2±3.3 days, p <0.0001) and no cases of arrosive bleeding ( p =0.04).
Conclusion: Omentoplasty reduces duration of treatment and risk of arrosive bleeding.