Approach to of infected sternotomy wounds in the management of mediastinitis Mediastinit tedavisinde enfekte sternotomi yaralarina yaklaşim


Durgun M., Durgun S. Ö. , Özakpinar H. R. , Eryilmaz A. T. , Öktem A. T. E. , İNÖZÜ E., ...More

Turkish Journal of Thoracic and Cardiovascular Surgery, vol.20, no.4, pp.820-825, 2012 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 20 Issue: 4
  • Publication Date: 2012
  • Doi Number: 10.5606/tgkdc.dergisi.2012.160
  • Journal Name: Turkish Journal of Thoracic and Cardiovascular Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.820-825
  • Keywords: Pectoralis muscle flap, presternal defect, rectus abdominis muscle flap, RECONSTRUCTION, FLAP, IRRIGATION, STERNUM
  • Lokman Hekim University Affiliated: Yes

Abstract

Background: In this study, we aimed to discuss the surgical options for the management of sternum wounds due to coronary artery bypass graft (CABG) surgery and to establish the most appropriate method. Methods: In this study, we evaluated 27 patients (11 females, 16 males; mean age 63 years; range 53 to 77 years) who were referred to our clinic with tissue defect of sternum after CABG surgery between March 2005 and March 2011. Results: Ten patients with superficial defects were reconstructed with skin grafting. Remaining 17 patients with exposed sternal bone underwent repair with 11 pectoral muscle-skin flaps and eight rectus abdominis muscle flaps. Conclusion: The superficial defects which occur after CABG surgery can be easily treated by skin grafting. The most suitable method for the reconstruction of the deep sternal defects are pectoralis muscle flap for the upper 2/3 defects and rectus abdominis muscle flap for the lower 1/3 defects.