Omental versus muscle flaps in the reconstruction of deep sternal wound infection

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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...

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Sternal Wound Reconstruction with Falciform and Omental Flaps for Chronic Sternal Osteomyelitis

1 Heather A. Levites, BS Omer E. Kaymakcalan, MD Division of Plastic and Reconstructive Surgery Division of Thoracic Surgery Department of Surgery Health Sciences Center Stony Brook Medicine Stony Brook, N.Y. Brett T. Phillips, MD, MBA Division of Plastic, Maxillofacial, and Oral Surgery Department of Surgery Duke University Durham, N.C. Thomas V. Bilfinger, MD Alexander B. Dagum, MD Division o...

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Therapy 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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Functional impairment after treatment with pectoral muscle flaps because of deep sternal wound infection.

OBJECTIVE Pectoral muscle flaps (PMF) are effective in terminating protracted sternal wound infections (SWI) but long-term outcome remains uncertain. Therefore, the aim of this study was to evaluate long-term outcome in patients treated with PMF. DESIGN Thirty-four of 263 patients revised because of deep SWI from 1991--2005 were treated with PMF. Of the 21 patients alive, 11 had left-sided, t...

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deep median sternal wound infection: management and reconstruction

during a 30-month period. 2s patients with deep infected median sternotomy wounds were managed surgically. fifteen patients had chronic sternal osteomyelitis with associated costochondruis, 7 patients had only costochondritis, and 3 patients had dehiscence and/or mediastinitis. twenty were male and 5 were female their ages rangedfrom 11 to 71 years. nine patients had 11 failed previous attempts...

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ژورنال

عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery

سال: 2011

ISSN: 1569-9293

DOI: 10.1510/icvts.2011.270652b