tailieunhanh - Báo cáo y học: "Secondary omental and pectoralis major double flap reconstruction following aggressive sternectomy for deep sternal wound infections after cardiac surgery"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Secondary omental and pectoralis major double flap reconstruction following aggressive sternectomy for deep sternal wound infections after cardiac surgery. | Kobayashi et al. Journal of Cardiothoracic Surgery 2011 6 56 http content 6 1 56 JCTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Secondary omental and pectoralis major double flap reconstruction following aggressive sternectomy for deep sternal wound infections after cardiac surgery I r- I I r lz A X -XX -x r l-x ih A lz I I I - X l I I AVX I_11 r I I lz I I -71 I TAX I h r ir-. Cl Í 7I I Iz I h Di IT- 7-x cl 1 .1 A h AXA T-J lz I I Iz-A -71 I I_I -A A-7X -A A A loshiro Kobayashi AKihito MiKdiTiQ Hiroshi Kurazumi Ryo Suzuki Bungo Shirasawa and KimiKazu namano Abstract Background Deep sternal wound Infection after cardiac surgery carries high morbidity and mortality. Our strategy for deep sternal wound infection is aggressive strenal debridement followed by vacuum-assisted closure VAC therapy and omental-muscle flap reconstrucion. We describe this strategy and examine the outcome and longterm quality of life QOL it achieves. Methods We retrospectively examined 16 patients treated for deep sternal wound infection between 2001 and 2007. The most recent nine patients were treated with total sternal resection followed by VAC therapy and secondary closure with omental-muscle flap reconstruction recent group whereas the former seven patients were treated with sternal preservation if possible without VAC therapy and four of these patients underwent primary closure former group . We assessed long-term quality of life after DSWI by using the Short Form 36-Item Health Survey Version 2 SF36v2 . Results One patient died and four required further surgery for recurrence of deep sternal wound infection in the former group. The duration of treatment for deep sternal wound infection in the recent group was significantly shorter than that in previous group days vs. days respectively p . Despite aggressive sternal resection the QOL of patients treated for DSWI was only minimally compromised compared with age-