Sternotomy reconstruction with omentum followed by large diaphragmatic hernia |
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Authors: | Vrtik Marian Cameron David Edwards Mark G |
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Institution: | Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Western Australia. maros96@hotmail.com |
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Abstract: | Poststernotomy mediastinitis carries significant morbidity and mortality. Aggressive wound debridement combined with a pedicled omental flap, with or without a pedicled muscle flap, has gained acceptance in the management of difficult sternal wound infections. Two cases of poststernotomy mediastinitis and sternal wound reconstruction with a pedicled omental flap were complicated by a large anterior diaphragmatic hernia containing the large bowel. |
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