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Secondary Omental and Pectoralis Major Double Flap Reconstruction Following Aggressive Sternectomy for Deep Sternal Wound Infections After Cardiac Surgery by Toshiro Kobayashi; Akihito Mikamo; Hiroshi Kurazumi; Ryo Suzuki; Bungo Shirasawa; Kimikazu Hamano is a Medicine article available to read on EtoBox.
What is Secondary Omental and Pectoralis Major Double Flap Reconstruction Following Aggressive Sternectomy for Deep Sternal Wound Infections After Cardiac Surgery about?
## 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 examined 16 patients treated for deep sternal wound infection between 2001 and 2007. The most recent nine patients were treated with total sternal resection followed by VAC therapy and secondary closure with omental-muscle flap reconstruction (recent group); whereas the former seven patients were treated with sternal preservation if possible, without VAC therapy, and four of these patients underwent primary closure (former group). We assessed long-term quality of life after DSWI by using the Short Form 36-Item Health Survey, Version 2 (SF36v2). ## Results One patient died and four required further surgery for recurrence of deep sternal wound infection in the former group. The duration of treatment for deep sternal wound infection in the recent group was significantly shorter than that in
Who reads Secondary Omental and Pectoralis Major Double Flap Reconstruction Following Aggressive Sternectomy for Deep Sternal Wound Infections After Cardiac Surgery?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Toshiro Kobayashi; Akihito Mikamo; Hiroshi Kurazumi; Ryo Suzuki; Bungo Shirasawa; Kimikazu Hamano
- Publisher
- BioMed Central; Springer (Biomed Central Ltd.); London: Biomed Central, 2006-; Springer Science and Business Media LLC (ISSN 1749-8090)
- Published
- 2011
- Language
- EN
- Field
- Medicine (Health Sciences)