tailieunhanh - Báo cáo y học: "Complicated sternal dehiscence treated with the strasbourg thoracic osteosyntheses system (STRATOS) and the transposition of greater omentum: a case report"

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: Complicated sternal dehiscence treated with the strasbourg thoracic osteosyntheses system (STRATOS) and the transposition of greater omentum: a case report. | Ceresa et al. Journal of Cardiothoracic Surgery 2010 5 53 http content 5 1 53 JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Co mplicated sternal dehiscence treated with the Strasbourg thoracic osteosyntheses system STRATOS and the transposition of greater omentum a case report Fabrizio Ceresa 1 Giuseppe Casablanca2 and Francesco Patanè1 Abstract Sternal dehiscence is a serious complication after cardiac surgery. Sternal refixation performed by simple rewiring or techniqual modification of rewiring as described by Robicsek can fail overall when the bone quality is poor or the sternum is completely destroyed. The sternal closure systems consisting of plates screws or rib clips and titanium bars have been recently introduced to treat the complicated sternal dehiscence. We describe for the first time the use of the Strasbourg Thoracic Osteosyntheses System STRATOS and the greater omentum to treat a complicated sternal dehiscence causing chest pain and respiratory failure. Background Middle sternotomy is the most common access to the heart and mediastinum used in the cardiac surgery. The incidence of sternal dehiscence with or without infection range from 0 5 to 5 0 and it is a serious complication after cardiac surgery. Obesity osteoporosis chronic obstructive pulmonary disease COPD diabetes intake of corticosteroids and off-midline sternotomy are the main risk factors 1 . Sternal refixation can be performed by simple rewiring or techniqual modification of rewiring as described by Robicsek and colleagues 1 . When the bone quality is poor or there are multiple fractures of the sternum these classical approaches of rewiring can fail and the rigid fixation systems recently introduced can be used for the sternal reconstruction 1 2 . We describe the case of a complicated sternal dehiscence treated with the implant of the Strasbourg Thoracic Osteosyntheses System STRATOS and the transposition of the greater omentum. Case presentation