ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Approach to of infected sternotomy wounds in the management of mediastinitis
Mustafa Durgun1, Suna Ögücü Durgun2, Hülda Rıfat Özakpınar1, Avni Tolga Eryılmaz1, Hüseyin Fatih Öktem1, Emre İnözü1, Ali Teoman Tellioğlu1
1Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Plastik Rekonstrüktif ve Estetik Cerrahi Kliniği, Ankara, Türkiye
2Ankara Üniversitesi Tıp Fakültesi, Enfeksiyon Hastalıkları Anabilim Dalı, Ankara, Türkiye
DOI : 10.5606/tgkdc.dergisi.2012.160
Background: In this study, we aimed to discuss the surgical options for the management of sternum wounds due to coronary artery bypass graft (CABG) surgery and to establish the most appropriate method.

Methods: In this study, wee valuated 27 patients (11 females, 16 males; mean age 63 years; range 53 to 77 years) who were referred to our clinic with tissue defect of sternum after CABG surgery between March 2005 and March 2011.

Results: Ten patients with superficial defects were reconstructed with skin grafting. Remaining 17 patients with exposed sternal bone underwent repair with 11 pectoral muscle-skin flaps and eight rectus abdominis muscle flaps.

Conclusion: The superficial defects which occur after CABG surgery can be easily treated by skin grafting. The most suitable method for the reconstruction of the deep sternal defects are pectoralis muscle flap for the upper 2/3 defects and rectus abdominis muscle flap for the lower 1/3 defects.

Keywords : Pectoralis muscle flap; presternal defect; rectus abdominis muscle flap
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