Current concepts in the management and reconstruction of the dehisced median sternotomy.
This review will delineate the underlying conditions that predispose patients to deep mediastinal infection and sternal dehiscence, discuss the principles of thorough debridement and preparation of the wound, and assess the appropriate options available for successful reconstruction.
Graeber
Geoffrey M
GM
Section of Thoracic and Cardiovascular Surgery, West Virginia University School of Medicine, Morgantown, WV, USA. ggraeber@hsc.wvu.edu
McClelland
William T
WT
D019468:Disease Management; D004867:Equipment Design; D006801:Humans; D008480:Mediastinitis / Q000453:epidemiology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D012307:Risk Factors; D013249:Sternum / Q000601:surgery*; D013524:Surgical Flaps / Q000145:classification; D013529:Surgical Wound Dehiscence / Q000453:epidemiology / Q000601:surgery*; D014481:United States / Q000453:epidemiology