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KMID : 0364019940270070634
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 7 p.634 ~ p.638
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Management of Infected Median Sternotomy Wound by Muscle Flap -5 Cases-
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Abstract
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Infection of a median sternotomy incision may result in a large, unsightly, unstable and potentially fatal wound. During the past 8 years, 5 consecutive patients(4 male and 1 female) had repair of infected sternotomy wound. We describe our
current
preferred techniques and the results we have achieved with them.
As soon as the sternal infection was shown, operative wound was opened and irrigated more than 4 times a day with 0.5% Betadine iodine solution until the exudate became clean with no growth of bacteria. Operation was performed in one-stage, which
consisted of aggressive debridement of the infected bone and muscle transposition. Reconstruction was with one-side or both pectoralis flaps in all patients and rectus abdominis in 2 patients There was no mortality or morbidity within 30 days
postoperatively.
We conclude that early aggressive debridement and muscle transposition remain the treament of choice for most patients with infected median sternotomy wounds. (Korean J Thoracic Cardiovas Surg 1994; 27:634-638)
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