Naslov
Combined Vacuum-Assisted Closure Treatment with Laparoscopic Mobilization of an Omental Flap and Meshed Skin Grafts for Reconstruction of Infected Sternotomy Wounds: Two Cases

Autori
Veir, Zoran ; Smuđ, Sanda ; Bogdanić, Branko ; Cvjetičanin, Bruno ; Bagatin, Dinko ; Dujmović, Anto ; Duduković, Mladen ; Ivrlač, Radojko ; Bulić, Krešimir ; Mijatović, Davor

Izvornik
Collegium antropologicum (0350-6134) 33 (2009), 4; 1427-1430

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
sternal defects ; vacuum-assisted closure treatment (VAC) ; omental flap ; postoperative care

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA