Single-stage repair of the anterior chest wall following sternal destruction complicated by mediastinitis

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dc.contributor.authorZor, Mustafa Hakan
dc.contributor.authorAcipayam, Mehmet
dc.contributor.authorBayram, Huseyin
dc.contributor.authorOktar, Levent
dc.contributor.authorErdogan, Mustafa
dc.contributor.authorDarcin, Osman Tansel
dc.date.accessioned2024-09-18T20:08:14Z
dc.date.available2024-09-18T20:08:14Z
dc.date.issued2014
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAlthough various techniques have been described, the ideal reconstructive procedure for treating massive sternal fragmentation and necrosis is still a matter of debate. Sometimes, reconstruction is so challenging that repetitive operations are required, particularly when complicated by mediastinitis and sternal osteomyelitis. Five patients (three males, two females, median age 66) with severe osteomyelitis and sternal destruction after receiving myocardial revascularization underwent partial or radical sternal resection, omental flap transposition, titanium mesh implantation and rectus abdominis muscle flap transposition. The final procedure involved single-stage closure. One patient died 9 days after the final procedure due to pneumonia and septicemia. The other patients received antibiotics for at least 6 weeks postoperatively. The mean hospital stay was 36 days. Optimal wound healing was observed, with acceptable cosmetic disorders. Although lateral sternal support is the first-line surgical treatment for sternal dehiscence, performing primary closure of complicated defects is often impossible. Aggressive treatment modalities are required in such cases for anterior chest wall defects. This technique provides the ability to perform rigid and stable sternal closure in complicated cases.en_US
dc.identifier.doi10.1007/s00595-013-0737-8
dc.identifier.endpage1482en_US
dc.identifier.issn0941-1291
dc.identifier.issn1436-2813
dc.identifier.issue8en_US
dc.identifier.pmid24091861en_US
dc.identifier.scopus2-s2.0-84904346097en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1476en_US
dc.identifier.urihttps://doi.org/10.1007/s00595-013-0737-8
dc.identifier.urihttps://hdl.handle.net/20.500.12483/8726
dc.identifier.volume44en_US
dc.identifier.wosWOS:000339379000012en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofSurgery Todayen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChest wallen_US
dc.subjectReoperationen_US
dc.subjectMediastinal infectionen_US
dc.titleSingle-stage repair of the anterior chest wall following sternal destruction complicated by mediastinitisen_US
dc.typeArticleen_US

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