The role of sugar diabetes in the development of breast instability in postoperative stern mededistine in cardiac-surgical patients

The article presents a three-year clinical observation of 48 patients where the role of diabetes mellitus in the development of mediastinitis and instability of the sternum in cardiosurgical patients who have undergone complete median sternotomy is established. It is concluded that in patients with diabetes, osteopenic syndrome, which leads to the predominance of bone resorption processes over the processes of bone formation. The aim of the research: establish the role of diabetes in the development of mediastinitis and instability of the sternum in cardiac patients who underwent complete median sternotomy. Material and methods: During the period from 2015 to 2017, 1275 patients with various cardiovascular pathologies were operated through the sternotomy access in the cardiac surgical department of the Federal Center for Cardiovascular Surgery in Krasnoyarsk. In 48 (3.7%) of them, the postoperative period was complicated by sternomediastinitis. In 32 (66%) patients, diastasis of only soft tissues was diagnosed, and in 16 (34%) diastasis of soft tissues and ster- num was diagnosed...