Pedicled rectus abdominis muscle flap treatment of osteomyelitis of sternum after cardiac surgery.docVIP

 PAGE \* MERGEFORMAT 14 Pedicled rectus abdominis muscle flap treatment of osteomyelitis of sternum after cardiac surgery Authors: ZHANG Shao-ming, TAO Hong-Wei, Xu Xiaoping, Zhang Heng [Keywords:] post-operative complications Treatment of sternum osteomyelitis secondary to heart surgery by pedicled rectus abdominis musculocutaneous flap [Abstract] AIM: To explore the treatment of complicated sternum osteomyelitis after midsternal thoracotomy. METHODS: Five patients with complicated sternum osteomyelitis following midsternal thoracotomy had resection of sternum and part of costal cartilage. The surface of the wound was repaired by pedicled rectus abdominis musculocutaneous flap. RESULTS: All the flaps lived quite well without necrosis. Four patients got primary healing and one was cured after a second dermatoplasty. CONCLUSION: Complete resection of infected sternum plus transposition of pedicled rectus abdominis musculocutaneous flap is effective for the treatment of sternum osteomyelitis secondary to open heart surgery, which will not affect the respiratory function even if the resection margin goes to the sternal angle. [Keywords] postoperative complications; sternum; osteomyelitis; pedicled rectus abdominis musculocutaneous flap; caroliac surgical proceolures [Abstract] Objective: To evaluate the median sternotomy open-heart surgery complicated the treatment of sternal osteomyelitis. Methods: After median sternotomy open-heart surgery complicated by sternal osteomyelitis in 5 patients, after repeated debridement and long-term medication treatment can not be healed, OK infection of sternum and part of costal cartilage resection, ranging up to the level of sternal angle, the latter with the rectus abdominis muscle pedicle flap repair the wound. Results: After flap survived well without necrosis, I healing in 4 cases, re-skin grafting After healing in 1 case. Conclusion: Sternal osteomyelitis after cardiac surgery thoroughly clear the infection, bone mar