Document Detail


Reconstruction of large post-sternotomy wound with bilateral "V-Y fasciocutaneous advancement flaps".
MedLine Citation:
PMID:  18721608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Post-sternotomy wounds are highly dangerous complications after a median sternotomy. Many different methods have been described for reconstruction of post-sternotomy wounds. The treatment is multifactorial. The treatment depends on the severity of the wound and various patient factors. We evaluate a novel method for closure of sternal dehiscence of a patient who has multiple comorbid problems, including diabetes mellitus, hypertension, and chronic obstructive pulmonary disease. In our method, after debridement, the "bilateral V-Y fasciocutaneous advancement flaps" were used for reconstruction. This method presents a successful resolution of an infected median sternotomy wound. It is a simple, rapid, and effective procedure associated with low mortality, morbidity, and short hospital stay.
Authors:
Fatih Uygur; Celalettin Sever; Ersin Ulkur; Bahattin Celikoz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  86     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-25     Completed Date:  2008-09-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1012-5     Citation Subset:  AIM; IM    
Affiliation:
Gülhane Military Medical Academy and Medical Faculty, Haydarpasha Training Hospital, Kadiköy, Istanbul, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Bypass
Female
Humans
Middle Aged
Sternum / surgery*
Surgical Flaps*
Surgical Wound Dehiscence / surgery*
Surgical Wound Infection / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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