Combined vacuum-assisted closure treatment with laparoscopic mobilization of an omental flap and meshed skin grafts for reconstruction of infected sternotomy wounds: two cases

Autor:	Veir, Zoran, Smuđ, Sanda, Bogdanić, Branko, Cvjetičanin, Bruno, Bagatin, Dinko, Dujmović, Anto, Duduković, Mladen, Ivrlač, Radojko, Bulić, Krešimir, Mijatović, Davor
Rok vydání:	2010
Předmět:	Male Middle Aged Sternotomy Surgical Flaps body regions sternal defects vacuum-assisted closure treatment (VAC) omental flap postoperative care surgical procedures operative Humans Surgical Wound Infection Laparoscopy Coronary Artery Bypass Omentum Negative-Pressure Wound Therapy Aged
Zdroj:	Collegium antropologicum Volume 33 Issue 4
ISSN:	0350-6134 1848-9486
Popis:	In cardiac surgery, poststernotomy wounds are life threatening complications, with mortality up to 50%. We described two patients, who underwent coronary artery bypass grafting and postoperatively developed a deep sternal wound infection. Reconstruction was combined with vacuum-assisted closure treatment, laparoscopic mobilization of an omental flap and split thickens skin grafts. The omental flap is a well-vascularized local flap with a large surface area and has excellent immunologic and angiogenic properties. Both patients recovered completely. In our opinion, vacuum-assisted closure treatment and laparoscopic mobilization of great omentum is suitable option for treating deep sternal wounds.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid_dedup__::90ef3c468ccf9cfac4a1846c9d665cd1 https://pubmed.ncbi.nlm.nih.gov/20102106 Zobrazit plný text záznamu