Laparoscopic-assisted harvesting of omental flap in chest wall reconstruction for deep sternal wound infection

2017 ◽  
pp. 18
Author(s):  
A. A. Pechetov ◽  
Yu. S. Esakov ◽  
M. A. Makov ◽  
D. E. Okonskaya ◽  
A. V. Basylyuk ◽  
...  
Keyword(s):  
Wound Infection ◽  
Chest Wall ◽  
Chest Wall Reconstruction ◽  
Omental Flap ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Laparoscopic Assisted

Anterior Mediastinal Herniation of the Transverse Colon after an Omental Flap Transposition

2007 ◽  
Vol 73 (4) ◽  
pp. 367-370 ◽  
Author(s):  
Ari Halldorsson ◽  
Gary Meyerrose ◽  
John Griswold
Keyword(s):  
Cardiac Surgery ◽  
Wound Infection ◽  
Transverse Colon ◽  
Anterior Mediastinum ◽  
Colon Resection ◽  
Omental Flap ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Transposition Flap ◽  
Omental Transposition

Poststernotomy mediastinitis continues to be an infrequent but serious complication after cardiac surgery. We present a case of a 59-year-old man who developed a deep sternal wound infection after an emergency cardiac surgery. Omental transposition flap was used to cover the sternal defect. Several days later, the patient developed a transverse colon herniation into the anterior mediastinum that required emergency exploration and colon resection. The patient survived after a difficult hospital course. Indications, technical points, and possible complications of using omental flap transposition are discussed.

scholarly journals A comprehensive surgical approach to the treatment of deep sternal wound infection after heart transplantation

2021 ◽  
Vol 23 (2) ◽  
pp. 67-75
Author(s):  
V. M. Zakharevich ◽  
V. A. Mitish ◽  
T. A. Khalilulin ◽  
A. R. Zakiryanov ◽  
D. S. Ivanov ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Heart Transplantation ◽  
Wound Infection ◽  
Chest Wall ◽  
Surgical Techniques ◽  
Anterior Chest Wall ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection ◽  
Wound Debridement ◽  
Sternal Osteomyelitis

Deep wound infection of the anterior chest wall tissues in patients after transsternal cardiac surgery despite intensive developments in surgical techniques and improvement of antibacterial chemotherapy, remains a genuine concern worldwide [1]. The incidence of this complication in the general population ranges from 0.5 to 4% [2, 3]. Despite developed approaches in the treatment of cardiac surgery patients, the treatment of deep sternal wound infection and surrounding tissues following a heart transplantation still remains a rather serious and pressing challenge. This paper presents a clinical observation of a heart transplant recipient, complicated by deep postoperative wound infection. The strategy of staged surgical treatment of sternal osteomyelitis consisted of surgical wound debridement, local wound debridement with vacuum dressings, and reconstructive surgery at the final stage (sternal reosteosynthesis, plasty of the anterior chest wall wound with displaced skin and fascial flaps).

scholarly journals Results of Omental Flap Transposition for Deep Sternal Wound Infection After Cardiovascular Surgery

1998 ◽  
Vol 227 (3) ◽  
pp. 455-459 ◽  
Author(s):  
Kenzo Yasuura ◽  
Hiroshi Okamoto ◽  
Shin Morita ◽  
Yutaka Ogawa ◽  
Masaru Sawazaki ◽  
...  
Keyword(s):  
Wound Infection ◽  
Cardiovascular Surgery ◽  
Omental Flap ◽  
Deep Sternal Wound Infection ◽  
Sternal Wound Infection
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