Selected Methods of the Chest Wall Reconstruction for Sternal Dehiscence after Median Sternotomy

• Authors: Edward Lewandowicz , Aleksandra Iljin , Anna Kasielska-Trojan , Marta Fijałkowska , Bogusław Antoszewski
• Languages of publication: EN

Abstracts

EN

Dehiscence of a median sternotomy wound is a potentially devastating and life-threatening complication of cardiac procedures.Depending on the localization, extensiveness, and profoundness of the defect a variety of muscle flaps may be used to cover the frontal mediastinum, in particular: pectoralis major, rectus abdominisor latissimus dorsi. In spite of several options for restoration of sternal integrity we cannot avoid following serious local complications increasing patients morbidity. The aim of this paper is to report a method of sternal dehiscence management. Surgical technique and its results are presented on the example of two patients treated in Plastic, Reconstructive and Aesthetic Surgery Clinic, Medical University in Łódź because of sternal dehiscence after cardiovascular procedure with sternotomy. Our experience indicates that modified bilateral pectoralis major flap seems to be effective surgical method of sternal dehiscence treatment. Also it is worth to remember that surgical procedure in this complication should be performed as soon as possible to decrease patient’s disability and to avoid following complications

Keywords

EN

sternum; complication; pectoralis major flap

• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 5
• Pages: 230-234

Dates

published

1 - 5 - 2014

online

1 - 7 - 2014

received

8 - 6 - 2013

Contributors

author

Edward Lewandowicz

• (Department of Plastic, Reconstructive and Aesthetic Surgery, Institute of Surgery, Medical University in Łódź, Kierownik: prof. dr hab. B. Antoszewski

author

Aleksandra Iljin

• (Department of Plastic, Reconstructive and Aesthetic Surgery, Institute of Surgery, Medical University in Łódź, Kierownik: prof. dr hab. B. Antoszewski

author

Anna Kasielska-Trojan

• (Department of Plastic, Reconstructive and Aesthetic Surgery, Institute of Surgery, Medical University in Łódź, Kierownik: prof. dr hab. B. Antoszewski

author

Marta Fijałkowska

• (Department of Plastic, Reconstructive and Aesthetic Surgery, Institute of Surgery, Medical University in Łódź, Kierownik: prof. dr hab. B. Antoszewski

author

Bogusław Antoszewski

• (Department of Plastic, Reconstructive and Aesthetic Surgery, Institute of Surgery, Medical University in Łódź, Kierownik: prof. dr hab. B. Antoszewski

References

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Identifiers

DOI

10.2478/pjs-2014-0040