Combined Vacuum-Assisted Closure Treatment with Laparoscopic Mobilization of an Omental Flap and Meshed Skin Grafts for Reconstruction of Infected Sternotomy Wounds: Two CasesReportar como inadecuado




Combined Vacuum-Assisted Closure Treatment with Laparoscopic Mobilization of an Omental Flap and Meshed Skin Grafts for Reconstruction of Infected Sternotomy Wounds: Two Cases - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Collegium antropologicum, Vol.33 No.4 December 2009. -

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 thicknes 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.

sternal defects; vacuum-assisted closure treatment VAC; omental flap; postoperative care



Autor: Zoran Veir - ; Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia Sanda Smuđ - ; Department of Pl

Fuente: http://hrcak.srce.hr/



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