Omental Transposition: The Final Solution for Major Sternal Wound Infection
| Autor: | Nick Theakos, Stamatis Kakaris, I. Skottis, Georgios Benakis, Kalliopi Athanassiadi |
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| Rok vydání: | 2007 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Sternum medicine.medical_specialty medicine.medical_treatment Omental transposition 030204 cardiovascular system & hematology Surgical Flaps 03 medical and health sciences 0302 clinical medicine Humans Surgical Wound Infection Medicine Treatment Failure Cardiac Surgical Procedures Aged Debridement business.industry Osteomyelitis General Medicine Length of Stay Middle Aged medicine.disease Mediastinitis Anti-Bacterial Agents Surgery Cardiac surgery Treatment Outcome 030228 respiratory system Median sternotomy Female Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Omentum Follow-Up Studies |
| Zdroj: | Asian Cardiovascular and Thoracic Annals. 15:200-203 |
| ISSN: | 1816-5370 0218-4923 |
| DOI: | 10.1177/021849230701500305 |
| Popis: | Sternal osteomyelitis after median sternotomy for cardiac surgery is associated with considerable morbidity and mortality. The ideal reconstruction after sternal debridement is still debated. From 2000 to 2004, we treated 15 patients for sternal osteomyelitis (type IIIB, IVA, IVB) after median sternotomy for cardiac surgery. Total or partial resection of the sternum and extensive debridement were performed in all cases. The defect was covered by omental transposition. In 11 cases, a single-stage operation took place, and a two-stage procedure was employed in 4. All patients had antibiotics postoperatively. There were 3 (20%) deaths due to cardiac failure. Hospital stay ranged from 21 to 45 days. Transient paradoxical movement of the anterior chest wall disappeared within one month. No recurrence was observed during 6 to 24 months of follow-up. Radical debridement along with omental flap transposition provides definitive control of the infection in cases of failure of other semi-conservative or surgical interventions. Prognosis depends on the general condition of the patient. |
| Databáze: | OpenAIRE |
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