关键词: mediastinitis pectoralis major muscle flap reconstruction sternal dehiscence sternal wound

Mesh : Adult Child Humans Infant Pectoralis Muscles / transplantation Retrospective Studies Sternotomy Sternum / surgery Surgical Flaps Surgical Wound Dehiscence / surgery Surgical Wound Infection / surgery Treatment Outcome

来  源:   DOI:10.1111/jocs.16564

Abstract:
Deep sternal wound infection and dehiscence has been classified as complex wound, and its treatment is a challenge for the surgeon. There are many flap choices for its treatment, each one having advantages and drawbacks. The article by Wang et al. evidenced that the unilateral pectoralis major muscle flap is a simple and effective option for wound closure resulting from sternotomy dehiscence in infants and children. The report discussed herein highlights that the unilateral pectoralis major muscle flap has been a good and feasible option for the reconstruction of the sternal wound in adults, as previously described by our group and other authors. This technique presents low morbidity and acceptable esthetic and functional results, providing stability to the sternal region.
摘要:
深部胸骨伤口感染和裂开已被归类为复杂伤口,它的治疗对外科医生来说是一个挑战。它的治疗有很多皮瓣选择,每一个都有优点和缺点。Wang等人的文章。证明单侧胸大肌肌皮瓣是婴儿和儿童胸骨切开裂开导致伤口闭合的简单有效的选择。本文讨论的报告强调,单侧胸大肌肌皮瓣已成为成人胸骨创伤重建的良好可行选择。正如我们小组和其他作者先前描述的那样。该技术具有低发病率和可接受的美学和功能结果,为胸骨区域提供稳定性。
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