Recurrent post-sternotomy mediastinitis - 16/08/11
, Evangelos S. Rosmarakis a
Corresponding author. Address: 9 Neapoleos Street, 151 23 Marousi, Greece. Tel.: +30 694 6110 000; fax: +30 210 683 9605.Summary |
The use of muscle flaps or omentum flap combined with an appropriate anti-microbial regimen is the treatment of choice for patients with recurrent mediastinitis. Flap closure obliterates the large mediastinal wounds and prevents spreading of the infection to the aorta, heart, including the vascular coronary artery grafts, and other prosthetic materials. In addition, the use of muscle flaps or omentum flap provides the infected tissues with the essential blood supply including good concentration of intravenously administered antibiotics, and leads to early wound closure with sufficient chest stability and respiratory function.
Le texte complet de cet article est disponible en PDF.Keywords : Coronary artery bypass surgery, Internal mammary artery, Muscle flaps, Omentum flap, Staphylococcus aureus
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Vol 52 - N° 5
P. e151-e154 - mai 2006 Retour au numéro
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