Editorial commentThe endoscopically harvested omental flap for deep sternal wound infection: the Leeuwarden experience
نویسندگان
چکیده
منابع مشابه
The laparoscopically harvested omental flap for deep sternal wound infection.
OBJECTIVE To report our experience with the laparoscopically harvested omental flap in the treatment of deep sternal wound infection, and to present a modification and introduce two supportive techniques in the perioperative management. METHODS Between June 2005 and September 2007, six patients with grade IV (El Oakley-Wright classification) deep sternal wound infection following a median ste...
متن کاملThe laparoscopically harvested omental flap and transverse plate fixation for sternal reconstruction in complicated sternal wound infection after cardiac surgery
Methods Between 2010 and 2011, 6 patients with type IV deep sternal wound infection underwent a sternal reconstruction with a laparoscopically harvested omental flap and transverse plate fixation. The median age of the cohort (1 female and 5 males), was 72.5 years (range: 4978 years). In 5 patients, a bilateral internal thoracic artery had been used. Considerable preoperative risk factors were ...
متن کاملSternal Wound Reconstruction With Omental Flap for Poststernotomy Mediastinitis
Figure 1. Mediastinal defect with exposed pros-thetic aortic root graft. DESCRIPTION A 70-year-old woman with short stature and hypermastia underwent ascending aortic aneurysm repair with a prosthetic graft, complicated by postoperative mediastinitis and sternal dehiscence. She was treated with aggressive sternal debridement and negative pressure wound therapy for 1 week (Fig 1) prior to defini...
متن کاملVancomycin Local application, role in Deep Sternal Wound Infection in our experience
Introduction: Deep sternal wound infection (DSWI) is one of the most complex and potentially devastating complications following median sternotomy in cardiac surgery. Despite many advances in prevention, it still remains significant and ranges between 0.5% and 6.8%. We aim to study the role of vancomycin paste applied locally over sternal edges in reducing DSWI.Materials and Methods...
متن کاملTherapy options in deep sternal wound infection: Sternal plating versus muscle flap
BACKGROUND Management of deep sternal wound infection (DSWI) in cardiac surgical patients still remains challenging. A variety of treatment strategies has been described. Aim of this cohort study was to analyse two different treatment strategies for DSWI: titanium sternal plating system (TSFS) and muscle flap coverage (MFC). METHODS Between January 2007 and December 2011, from 3122 patients u...
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ژورنال
عنوان ژورنال: European Journal of Cardio-Thoracic Surgery
سال: 2010
ISSN: 1010-7940
DOI: 10.1016/j.ejcts.2009.06.044