Combined vacuum-assisted closure treatment with laparoscopic mobilization of an omental flap and meshed skin grafts for reconstruction of infected sternotomy wounds: two cases.
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 thickens 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.
Veir
Zoran
Z
Department of Plastic Surgery, University Hospital Center Zagreb, Zagreb, Croatia. veir.zoran@gmail.com
Smud
Sanda
S
Bogdanić
Branko
B
Cvjeticanin
Bruno
B
Bagatin
Dinko
D
Dujmović
Anto
A
Duduković
Mladen
M
Ivrlac
Radojko
R
Bulić
Kresimir
K
Mijatović
Davor
D
D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D009852:Omentum / Q000098:blood supply / Q000637:transplantation*; D056346:Sternotomy / Q000009:adverse effects*; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000601:surgery*