Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Reconstruction of the median sternotomy wound dehiscence using the latissimus dorsi myocutaneous flap
Autore:
DeJesus, RA; Paletta, JD; Dabb, RW;
Indirizzi:
York Hosp, Dept Surg, Div Plast Surg, York, PA USA York Hosp York PA USAYork Hosp, Dept Surg, Div Plast Surg, York, PA USA
Titolo Testata:
JOURNAL OF CARDIOVASCULAR SURGERY
fascicolo: 3, volume: 42, anno: 2001,
pagine: 359 - 364
SICI:
0021-9509(200106)42:3<359:ROTMSW>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTERNAL-MAMMARY-ARTERY; OPEN-HEART SURGERY; MUSCLE FLAPS; CHEST-WALL; GRAFTS; INFECTIONS; TRANSPOSITION; STERNUM;
Keywords:
cardiac surgical procedures; sternum; mediastinum, surgical wound infection; surgical flaps; surgery, plastic;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: DeJesus, RA York Hlth Syst, 1001 S George St,POB 15198, York, PA 17405 USAYork Hlth Syst 1001 S George St,POB 15198 York PA USA 17405 SA
Citazione:
R.A. DeJesus et al., "Reconstruction of the median sternotomy wound dehiscence using the latissimus dorsi myocutaneous flap", J CARD SURG, 42(3), 2001, pp. 359-364

Abstract

Background. Currently the internal thoracic artery (ITN) is the conduit ofpreference for coronary artery revascularization. Although this artery offers several advantages over the saphenous; vein there is a higher incidenceof postoperative sternal wound infection with its use. This incidence further increases with the use of bilateral internal thoracic arteries (BITA). The use of muscle or omental flaps to treat this complication has significantly reduced the morbidity and mortality. Typically the pectoralis major (PM) or the rectus abdominis (RA) muscles are the preferred method of reconstruction of the infected sternotomy wound. Methods. In a retrospective study over a four-year period from February 1994 to October 1998, nine patients underwent reconstruction of an infected median sternotomy wound with a latissimus dorsi nr mycutaneous flap (LDMF). Results. All of the patients in our study were successfully treated with asingle LDMF with the exception of one who required a rectus abdominis flapto cover the lateral aspect of the recalcitrant poststernotomy infected wound. There was a single patient who had a wound dehiscence at the donor site. Conclusions. The LDMF is reliable and serves as an adjunct for treating sternotomy infections. The flap provides sufficient amount of pedicle length and muscle mass for coverage. Although there is a need to turn the patient into a lateral decubitus position once the debridement is performed the flap harvest and its mobilization is technically straightforward with a short operative time, 135 minutes on average with a range of 97 to 171 minutes. Furthermore, there exists an anatomical advantage in using the LDMF; harvestof the LDMF does not disrupt collateral blood supply to the sternum and parasternal tissues.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 01:43:36