BACKGROUND Omental infarction is a rare entity that usually causes symptoms similar to those of appendicitis. Ultrasound or computerized tomography scan can diagnose omental infarction preoperatively. METHODS We treated two patients with omental infarction by performing a laparoscopic omentectomy in each one. RESULTS The pathology verified the operative diagnosis, and both patients were dis...

Chest wall reconstruction is a surgical procedure aimed at restoring the integrity and function of chest wall, which may be damaged due to trauma, cancer, infection, or congenital defects. The plays vital role in protecting thoracic organs, supporting respiratory system, maintaining shape chest. Therefore, any defect deformity can have significant functional aesthetic consequences for patient. ...

Central MessageThe left anterior intrathoracic route is useful for attaching the omental flap to ascending aorta and reconstructing gastric conduit through a median sternotomy.See Commentary on page XXX. The sternotomy. See A 63-year-old woman presented emergency department with chest back pain at 5 months after undergoing graft replacement surgery acute type aortic dissection (AAAD). Computed ...

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 ...

INTRODUCTION The aim of our study is to present our experience from the management of six patients with deep sternal wood infection and mediastinitis after aortocoronary by pass grafting. CASE SERIES Five Caucasian Greek male patients and a Caucasian Greek female were subjected to aortocoronary by pass grafting. Mean time of sternal dehiscence and mediastinitis was 9-17 (mean 11) days. We man...

The treatment of sternal wound infection still carries high mortality. Treatment preferences range from more conservative treatments that do not include flaps, to more aggressive reconstructions using different types of flaps, and these could be resolved and standardised using a proper classification with a treatment algorithm. We propose modification of the existing classification, with differ...