Prethodno priopćenje
Combined Vacuum-Assisted Closure Treatment with Laparoscopic Mobilization of an Omental Flap and Meshed Skin Grafts for Reconstruction of Infected Sternotomy Wounds: Two Cases
Zoran Veir
; Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Sanda Smuđ
; Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Branko Bogdanić
; Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Bruno Cvjetičanin
; Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Dinko Bagatin
; Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Anto Dujmović
; Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Mladen Duduković
; Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Radojko Ivrlač
; Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Krešimir Bulić
; Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Davor Mijatović
; Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia
Sažetak
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.
Ključne riječi
sternal defects; vacuum-assisted closure treatment (VAC); omental flap; postoperative care
Hrčak ID:
51548
URI
Datum izdavanja:
1.12.2009.
Posjeta: 1.390 *