Results of Omental Flap Transposition for Deep Sternal Wound Infection After Cardiovascular Surgery
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 کاملDeep sternal wound infection after cardiac surgery
BACKGROUND Deep sternal wound infection (DSWI) is a serious postoperative complication of cardiac surgery. In this study we investigated the incidence of DSWI and effect of re-exploration for bleeding on DSWI mortality. METHODS We reviewed 73,700 cases registered in the Japan Adult Cardiovascular Surgery Database (JACVSD) during the period from 2004 to 2009 and divided them into five groups: ...
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 کاملSecondary omental and pectoralis major double flap reconstruction following aggressive sternectomy for deep sternal wound infections after cardiac surgery
BACKGROUND Deep sternal wound infection after cardiac surgery carries high morbidity and mortality. Our strategy for deep sternal wound infection is aggressive strenal debridement followed by vacuum-assisted closure (VAC) therapy and omental-muscle flap reconstrucion. We describe this strategy and examine the outcome and long-term quality of life (QOL) it achieves. METHODS We retrospectively ...
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...
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ژورنال
عنوان ژورنال: Annals of Surgery
سال: 1998
ISSN: 0003-4932
DOI: 10.1097/00000658-199803000-00019