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

Anger, Jaime; Farsky, Pedro Sílvio; Almeida, Antonio Flávio Sanches de; Arnoni, Renato Tambellini; Dantas, Daniel Chagas

doi:10.1590/s1679-45082012000400010

Cited by 7 publications

(9 citation statements)

References 9 publications

(14 reference statements)

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“…Tewarie and colleagues reported superior results, using bilateral pectoralis major muscle flap to the omental flap technique, in patients without sternal bone necrosis, with relatively low recurrence and mortality risks [Tewarie 2019]. Anger and colleagues described a new surgical technique to repair dehiscence using fasciocutaneous flaps from the pectoralis major fascia in 21 patients [Anger 2012].…”

Section: Managementmentioning

confidence: 99%

Prevention, Classification and Management Review of Deep Sternal Wound Infection

Al‐Ebrahim

Al-Ebrahim

2020

HSF

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Sternal wound complications are significant problems in cardiac surgery and cause challenges to surgeons as they are associated with high mortality, morbidity, and a tremendous load on the hospital budget. Risk factors and preventive measures against sternal wound infection need to be in focus. Classification of different types of sternotomy complications post cardiac surgery is important for specific categorization and management. Reviewing the literature, a variety of classifications was introduced to help understand the pathophysiology of these wounds and how best to manage them. Initial classifications were based on the postoperative period of the infectious process and risk factors. Recently, the anatomical description of sternal wound, including the depth and location, was shown to be more practical. There is a lack of evidence-based surgical consensus for the appropriate management strategy, including type of closure, choice of sternal coverage post sternectomy, whether primary, delayed and when to use reconstructive flaps.

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Section: Managementmentioning

confidence: 99%

Prevention, Classification and Management Review of Deep Sternal Wound Infection

Al‐Ebrahim

Al-Ebrahim

2020

HSF

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“…Тот же параметр был использован в классификации E. Oakley 1996 г. [20]. В качестве дополнительных критериев автор использовал наличие факторов риска и предшествующего лечения раневой инфекции.…”

Section: классификацияunclassified

Postoperative sternomediastinitis

Lednev¹,

IuV²,

Stonogin³

et al. 2018

Khir. Z. im. N.I. Pirogova

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“…Some of dehiscence can be corrected only with debridement of the edges and its approach after improvement of the conditions of the tissues involved. For the correction of more complex defects, various techniques were being described including muscle, musculocutaenous and skin flaps, also omentum flaps with subsequent skin graftting, and recently the fasciocutaneous flap including the pectoralis major muscle fascia [ 3 - 8 ] .…”

Section: Introductionmentioning

confidence: 99%

“…The recent expansion of the variety of surgical techniques and the discussion of their indications proved to be fundamental the anatomical description of the raw area to facilitate understanding and discussion of the results [ 6 - 8 ] .…”

Section: Introductionmentioning

confidence: 99%

A new classification of post sternotomy dehiscence

Anger¹,

Dantas²,

Arnoni³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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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 classifications are based in the primary causal infection, but recently the anatomical description of the wound including the deepness and the vertical extension showed to be more useful. We propose a new classification based only on the anatomical changes following sternotomy dehiscence and chronic wound formation separating it in four types according to the deepness and in two sub-groups according to the vertical extension based on the inferior insertion of the pectoralis major muscle.

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

Cited by 7 publications

References 9 publications

Prevention, Classification and Management Review of Deep Sternal Wound Infection

Prevention, Classification and Management Review of Deep Sternal Wound Infection

Postoperative sternomediastinitis

A new classification of post sternotomy dehiscence

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