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

Preliminary communication

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

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Abstract

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.

Keywords

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

Hrčak ID:

51548

URI

https://hrcak.srce.hr/51548

Publication date:

1.12.2009.

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