Omentum flap as a salvage procedure in deep sternal wound infection

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Omentum flap as a salvage procedure in deep sternal wound infection

INTRODUCTION Deep sternal wound infections (DSWIs) are rare but devastating complication after median sternotomy following cardiac surgery. Especially in the presence of artificial material or inadequate preliminary muscle flaps, the pedicled omentum flap is due to its immunological properties, the predetermined flap in salvage procedures. METHODS We treated 14 patients suffering a mediastini...

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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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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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Vancomycin 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...

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Delayed Presentation of Deep Sternal Wound Infection

Deep sternal wound infections (DSWI) are infections of the sternum, mediastinum, or the muscle, fascia and soft tissue that overlie the sternum, typically occurring within a month of cardiac surgery. They are infrequent though severe complications of cardiac surgery. Diagnosis is made by the clinical presentation of fever, chest pain, or sternal instability in the setting of wound drainage, pos...

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ژورنال

عنوان ژورنال: Therapeutics and Clinical Risk Management

سال: 2017

ISSN: 1178-203X

DOI: 10.2147/tcrm.s134869