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

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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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Sternal 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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The 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 ...

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Bilateral pectoralis advancement flaps and transverse plate fixation system for sternal reconstruction in the complicated sternal wound

Methods Between 2008 and 2012, 24 patients with a complicated sternal wound underwent a sternal reconstruction with bilateral pectoralis advancement flaps and a transverse plate fixation system. The median age of the cohort (4 female and 20 males), was 65.8 years (range: 33-83 years). In 19 patients, a bilateral internal thoracic artery had been used. Considerable preoperative risk factors were...

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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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ژورنال

عنوان ژورنال: Plastic and Reconstructive Surgery Global Open

سال: 2014

ISSN: 2169-7574

DOI: 10.1097/gox.0000000000000194