Full Thickness Flap of the Greater Pectoral Muscle for Poststernotomy Mediastinitis
https://doi.org/10.23934/2223-9022-2023-12-4-697-701
Abstract
Poststernotomy mediastinitis is the most severe and dangerous complication in cardiac surgery. Treatment of such patients still poses great difficulties for the surgeon dealing with this problem. At the reconstructive stage, they consist in the lack of criteria for choosing a method of plastic surgery and standardized surgical technologies. The use of autologous tissues is generally performed: greater omentum and muscle flaps. The article presents the experience of treating a patient with poststernotomy mediastinitis. The surgery was two-staged. The effectiveness of using vacuum-assisted dressings has been demonstrated. Performing final debridement and wound preparation followed by repair of the defect with a full-thickness flap of the pectoralis major muscle on the perforating branch of the internal thoracic artery led to the patient’s recovery.
Keywords
chest wall defect,
poststernotomy mediastinitis,
sternal osteomyelitis,
muscle flap,
perforating branch of the internal thoracic artery
Supporting agencies: The study has no sponsorship
About the Authors
M. A. Medvedchikov-Ardiya
Samara State Medical University; N.I. Pirogov Samara City Clinical Hospital No. 1
Russian Federation
Russian Federation
Mikhail A. Medvedchikov-Ardiya, Candidate of Medical Sciences, Thoracic Surgeon, Deputy Chief Physician for Surgery, Associate Professor
Institute of Professional Education
Department of Surgery
443099
89, Chapayevskaya Str.
443096
80, Polevaya Str.
Samara
E. A. Korymasov
Samara State Medical University; V.D. Seredavin Samara Regional Clinical Hospital
Russian Federation
Russian Federation
Evgeniy A. Korymasov, Doctor of Medical Sciences, Head of the Department
Institute of Professional Education
Surgery Department
443099
89, Chapayevskaya Str.
443095
159, Tashkentskaya Str.
Samara
A. S. Benyan
Samara State Medical University
Russian Federation
Russian Federation
Armen S. Benyan, Doctor of Medical Sciences, Associate Professor, Minister of Health of the Samara Region, Professor
Institute of Professional Education
Department of Surgery
443099
89, Chapayevskaya Str.
Samara
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Review
For citations:
Medvedchikov-Ardiya M.A., Korymasov E.A., Benyan A.S. Full Thickness Flap of the Greater Pectoral Muscle for Poststernotomy Mediastinitis. Russian Sklifosovsky Journal "Emergency Medical Care". 2023;12(4):697-701. https://doi.org/10.23934/2223-9022-2023-12-4-697-701
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