A new classification of post sternotomy dehiscence

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A new classification of post-sternotomy dehiscence

The dehiscence after median transesternal sternotomy used as surgical access for cardiac surgery is one of its complications and it increases the patient's morbidity and mortality. A variety of surgical techniques were recently described resulting to the need of a classification bringing a measure of objectivity to the management of these complex and dangerous wounds. The different related clas...

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Use of the pectoralis major fasciocutaneous flap in the treatment of post sternotomy dehiscence: a new approach.

OBJECTIVE To describe a new surgical technique for the treatment dehiscence after median thoracotomy transsternal using fasciocutaneous flap composed of the pectoralis major fascia. METHODS Between January 2009 and December 2010, from 1,573 patients submitted to coronary artery bypass graft, 21 developed wound dehiscence after sternotomy and were treated with bilateral pectoralis major muscle...

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Post-sternotomy mediastinitis after cardiac surgery

Post-sternotomy mediastinitis (PSM) is a rare but devastating complication, which may occur after cardiac surgery, and which increases mortality and morbidity tremendously. This study showed a statistically significant increased in-hospital mortality of patients with deep sternal wound infection (DSWI) compared with patients without DSWI (8.1% versus 2.7%, respectively) (p=0.03). For long-term ...

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Sternal reconstruction after post-sternotomy mediastinitis

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ژورنال

عنوان ژورنال: Revista Brasileira de Cirurgia Cardiovascular

سال: 2014

ISSN: 0102-7638

DOI: 10.5935/1678-9741.20140033