Successful Treatment of Deep Sternal İnfections Following Open Heart Surgery by Pectoralis Major Flaps

Abstract

Severe sternal wound infection following open heart surgery represents a rare but life-threatening complication. It requires prolonged hospitalization and high cost. Debridement and irrigation with saline are the most common used methods for treatment, in case of failure of these treatment regimens, sternal resection and reconstruction with pectoralis muscle flap may be necessary. We reported 4 cases with deep sternal infection after open heart surgery and we introduced our results of strategy on surgical sternal wound debridement and reconstruction with pectoralis major muscle flaps. Key Word: open heart surgery, Sternal infection, Wound treatment, Pectoralis flaps

Keywords

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Kalp Cerrahisi Sonrası Derin Sternal Enfeksiyonların Pektoral Kas Flepleri ile Başarılı Tedavisi+

Öz

Kalp cerrahisi sonrası derin sternal yara enfeksiyonu nadir olmakla beraber, hayatı tehdit eden, hastanede kalış süresini ve maliyeti artıran ağır komplikasyonlardan biridir. Debridman ve yaranın izotonik solüsyon ile yıkanması en sık başvurulan yöntemse de, bu tedavilerin yetersiz kaldığı durumlarda sternal rezeksiyon ve pektoral kas flep rekonstrüksiyonu gerekebilir. Bu yazıda, kardiyak cerrahi sonrası derin sternal enfeksiyon gelişen 4 olguda uyguladığımız cerrahi debridman ve pektoral kas flep rekonstrüksiyonu sonuçlarımızı irdeledik. Anahtar kelimeler: Açık kalp cerrahisi, Sternal enfeksiyon, Yara tedavisi, Pektoral flep.

Anahtar Kelimeler

• Açık kalp cerrahisi, Sternal enfeksiyon, Yara tedavisi, Pektoral flep

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