title: Sternotomy reconstruction with omentum followed by large diaphragmatic hernia.
abstract: Poststernotomy mediastinitis carries significant morbidity and mortality. Aggressive wound debridement combined with a pedicled omental flap, with or without a pedicled muscle flap, has gained acceptance in the management of difficult sternal wound infections. Two cases of poststernotomy mediastinitis and sternal wound reconstruction with a pedicled omental flap were complicated by a large anterior diaphragmatic hernia containing the large bowel.
authors.affiliation: Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Western Australia. maros96@hotmail.com
authors.forename: Marian
authors.initials: M
authors.lastname: Vrtik
authors.forename: David
authors.initials: D
authors.lastname: Cameron
authors.forename: Mark G
authors.initials: MG
authors.lastname: Edwards
mesh_terms: D000368:Aged; D003106:Colon / Q000000981:diagnostic imaging; D001026:Coronary Artery Bypass / Q000009:adverse effects; D003646:Debridement; D006548:Hernia, Diaphragmatic / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D009852:Omentum / Q000637:transplantation*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology*; D013203:Staphylococcal Infections / Q000188:drug therapy; D013249:Sternum / Q000601:surgery*; D013270:Stomach / Q000000981:diagnostic imaging; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed