Descending necrotizing mediastinitis: minimally invasive thoracic surgical treatment

De Carvalho Melo, Cromwell Barbosa; Sarmento, Petrúcio Abrantes; Imaeda, Carlos Jogi; Daud, Danilo Félix; Hasimoto, Fábio Nishida; Leão, Luiz Eduardo Villaça
November 2010
Jornal Brasileiro de Pneumologia;nov2010, Vol. 36 Issue 6, p812
Academic Journal
Objective: To report a case series of patients with descending necrotizing mediastinitis (DNM) who were treated with minimally invasive thoracic surgery. Methods: We report three cases of male patients with DNM who underwent mediastinal debridement by video-assisted thoracic surgery at the Hospital São Paulo, located in the city of São Paulo, Brazil, from admission to the final outcome. Results: The postoperative evolution was favorable in all three cases. The mean length of hospital stay was 16.7 days. Conclusions: We conclude that video-assisted thoracoscopy is an effective technique for mediastinal drainage in the treatment of DNM, with the benefits common to minimally invasive surgery: less postoperative pain, lower production of inflammatory factors, earlier return to activities of daily living, and better aesthetic results.


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