Reconstruction of large post-sternotomy wound with bilateral "V-Y fasciocutaneous advancement flaps".
Post-sternotomy wounds are highly dangerous complications after a median sternotomy. Many different methods have been described for reconstruction of post-sternotomy wounds. The treatment is multifactorial. The treatment depends on the severity of the wound and various patient factors. We evaluate a novel method for closure of sternal dehiscence of a patient who has multiple comorbid problems, including diabetes mellitus, hypertension, and chronic obstructive pulmonary disease. In our method, after debridement, the "bilateral V-Y fasciocutaneous advancement flaps" were used for reconstruction. This method presents a successful resolution of an infected median sternotomy wound. It is a simple, rapid, and effective procedure associated with low mortality, morbidity, and short hospital stay.
Uygur
Fatih
F
Gülhane Military Medical Academy and Medical Faculty, Haydarpasha Training Hospital, Kadiköy, Istanbul, Turkey.
Sever
Celalettin
C
Ulkur
Ersin
E
Celikoz
Bahattin
B
D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008875:Middle Aged; D013249:Sternum / Q000601:surgery*; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000601:surgery*; D013530:Surgical Wound Infection / Q000601:surgery*