Surgical debridement, vacuum therapy and pectoralis plasty in poststernotomy mediastinitis

Summary In cardiac surgery poststernotomy mediastinitis continues to be a serious cause of morbidity and mortality. We report our experience with vacuum-assisted closure (VAC) therapy followed by reconstruction with M. pectoralis muscle flaps as treatment for deep sternal wound infections. Our group...

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Veröffentlicht in:	Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2009-11, Vol.62 (11), p.1479-1483
Hauptverfasser:	Ennker, I.C, Pietrowski, D, Vöhringer, L, Kojcici, B, Albert, A, Vogt, P.M, Ennker, J
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Biological and medical sciences Chi-Square Distribution Cohort Studies Debridement - methods Female Follow-Up Studies Humans Infection M. pectoralis muscle flaps Male Mediastinitis Mediastinitis - etiology Mediastinitis - surgery Medical sciences Middle Aged Multivariate Analysis Negative-Pressure Wound Therapy - methods Pectoralis Muscles - blood supply Pectoralis Muscles - transplantation Plastic Surgery Probability Reconstructive Surgical Procedures - methods Retrospective Studies Risk Assessment ROC Curve Sternotomy Sternotomy - adverse effects Sternotomy - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps - blood supply Surgical Wound Infection - diagnosis Surgical Wound Infection - surgery Survival Rate Thoracic Surgical Procedures - adverse effects Thoracic Surgical Procedures - methods Treatment Outcome Vacuum therapy Wound Healing - physiology
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