TY  - JOUR
TI  - A Reliable Procedure for Reconstruction of the Sternum Defects: The Pectoralis Major Muscle Flap Combination with Negative Pressure Wound Therapy
AB  - Objective: Sternotomy defects may present mildly as isolated skin separation or severely as mediastinitis. A combination of treatment options can support treatment. Methods: Patients who were treated with pectoralis major flap with the combination of negative pressure wound therapy (NPWT) between 2016-2020, were retrospectively reviewed. Demographic features, microorganisms causing wound infection, flap reconstruction preference, time of hospitalization, remission, recurrence and associated morbidity and mortality data were evaluated. Results: Thirteen patients were included with a mean age of 65.4 years. All patients previously underwent coronary artery bypass graft surgery. Wound cultures from patients were positive in nine (69%). Isolated microorganisms were Staphylococcus spp. (n=4), Klebsiella pneumoniae (n=3) and Acinetobacter baumannii complex (n=2). The most common comorbidities were hypertension (76%) and diabetes mellitus(46%). The average hospital stay was 23.4 days. One patient died on the seventh postoperative day, two had seromas at the flap donor site, and one had hematoma. Conclusion:  Pectoralis major muscle flap and NPWT after complete removal of dead tissues is an effective method to repair and treat sternum defects.
AU  - Arıkan, Ali Ahmet
AU  - alagoz, murat sahin
AU  - yasar, emrah
AU  - Işık, halil
AU  - DEMİR, CAN İLKER
DO  - 10.30934/kusbed.951454
PY  - 2023
JO  - Kocaeli Üniversitesi Sağlık Bilimleri Dergisi
VL  - 9
IS  - 1
SN  - 2149-8571
SP  - 8
EP  - 13
DB  - TRDizin
UR  - http://search/yayin/detay/1156968
ER  -