Sternal wound types after median sternotomy and reconstruction using dead space-based approach
Background: This study aims to classify wound complications after median sternotomy and provide an up-to-date reconstructive algorithm for multidisciplinary use. Methods: A total of 15 patients (9 males, 6 females; mean age: 68±5 years; range, 60 to 75 years) who underwent sternal reconstruction for...
Saved in:
Published in | Türk göğüs kalp damar cerrahisi dergisi Vol. 32; no. 3; pp. 261 - 270 |
---|---|
Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
01.07.2024
|
Online Access | Get full text |
Cover
Loading…
Abstract | Background: This study aims to classify wound complications after median sternotomy and provide an up-to-date reconstructive algorithm for multidisciplinary use. Methods: A total of 15 patients (9 males, 6 females; mean age: 68±5 years; range, 60 to 75 years) who underwent sternal reconstruction for wound complications following median sternotomy between August 2020 and October 2023 were retrospectively analyzed. Wound complications requiring reconstruction were classified into three categories based on the extent of the dead space caused by sternal debridement. Type 1, 2, and 3 wounds presented with only skin defects and an intact sternum, with partial and total sternectomy, respectively. The time to consultation for plastic surgery and the duration of hospitalization were compared. Results: Among the wounds, type 2 wounds were the most common type seen in 11 patients. Two patients each had type 1 and type 3 wounds. A superior epigastric artery perforator skin flap was used for type 1 wounds. Bilateral pectoral and split pectoral turnover muscle flaps from the side where the internal mammary artery was intact were used for type 2 wounds. A rectus abdominis muscle flap was used for type 3 wounds. Early consultation from plastic surgery reduced the length of hospital stay. Conclusion: For type 1 wounds, skin flaps ensured sufficient coverage as they involved skin and subcutaneous fat, matching the defect. However, sternal excision required muscle flaps to fill the dead space, in which the vital organs were exposed. |
---|---|
AbstractList | Background: This study aims to classify wound complications after median sternotomy and provide an up-to-date reconstructive algorithm for multidisciplinary use. Methods: A total of 15 patients (9 males, 6 females; mean age: 68±5 years; range, 60 to 75 years) who underwent sternal reconstruction for wound complications following median sternotomy between August 2020 and October 2023 were retrospectively analyzed. Wound complications requiring reconstruction were classified into three categories based on the extent of the dead space caused by sternal debridement. Type 1, 2, and 3 wounds presented with only skin defects and an intact sternum, with partial and total sternectomy, respectively. The time to consultation for plastic surgery and the duration of hospitalization were compared. Results: Among the wounds, type 2 wounds were the most common type seen in 11 patients. Two patients each had type 1 and type 3 wounds. A superior epigastric artery perforator skin flap was used for type 1 wounds. Bilateral pectoral and split pectoral turnover muscle flaps from the side where the internal mammary artery was intact were used for type 2 wounds. A rectus abdominis muscle flap was used for type 3 wounds. Early consultation from plastic surgery reduced the length of hospital stay. Conclusion: For type 1 wounds, skin flaps ensured sufficient coverage as they involved skin and subcutaneous fat, matching the defect. However, sternal excision required muscle flaps to fill the dead space, in which the vital organs were exposed. |
Author | Çağrı Güzel, Yunus Dolapoğlu, Ahmet Can, Bilgen Furkan Kırış, Yusuf Dağ, Hatip |
Author_xml | – sequence: 1 givenname: Bilgen orcidid: 0000-0001-7354-4015 surname: Can fullname: Can, Bilgen – sequence: 2 givenname: Yusuf orcidid: 0009-0001-7672-289X surname: Furkan Kırış fullname: Furkan Kırış, Yusuf – sequence: 3 givenname: Hatip orcidid: 0009-0008-6861-0717 surname: Dağ fullname: Dağ, Hatip – sequence: 4 givenname: Yunus orcidid: 0009-0008-4583-8815 surname: Çağrı Güzel fullname: Çağrı Güzel, Yunus – sequence: 5 givenname: Ahmet orcidid: 0000-0001-9161-2632 surname: Dolapoğlu fullname: Dolapoğlu, Ahmet |
BookMark | eNot0NtKAzEQBuAgFVxr3yEvsGsOm5hcSvEEBS_UW8Nskq2r3WRJUqRv77Z2YBgYfobhu0aLEINHCFPSCEnkbdn-ONs4n7ZDHhpGWNswSQS_QBWjra4VFXKBKsoJrYVU5Aqtcv4mc0nKWyUq9PlWfAqww79xHxwuh8lnDP28xKN3AwScj4FY4njAMCeStzHkkva2DDHgfR7CFjsPDucJrK87yN5hmKYUwX7doMsedtmvznOJPh4f3tfP9eb16WV9v6nt_Eepeae9IFbaO94JcBqUltpZ6kF3EoBCqwh3SsHcru_BKsa0dD1wLhkXli-R-r9rU8w5-d5MaRghHQwl5khlTlTmTGWOVOZExf8AkNRljw |
Cites_doi | 10.1532/hsf.3153 10.1055/s-0039-1688760 10.1002/micr.30509 10.1097/00000637-198811000-00013 10.1016/j.jtcvs.2008.03.051 10.1186/s13019-017-0656-7 10.1016/j.athoracsur.2018.01.057 10.5999/aps.2018.01151 10.1016/S0003-4975(10)61822-X 10.1055/s-0036-1583297 10.1016/0003-4975(95)01035-1 10.1002/micr.30743 10.3109/2000656X.2013.769441 10.1186/s13019-020-01264-2 10.1055/s-0038-1629918 10.5606/tgkdc.dergisi.2022.20958 10.1016/j.bjps.2006.10.005 10.1016/j.athoracsur.2004.04.082 10.1097/SAP.0000000000001799 10.1016/j.jtcvs.2016.01.053 10.5761/atcs.oa.19-00293 10.21037/jtd.2018.03.166 10.1093/ejcts/ezt080 10.3389/fcvm.2022.822540 10.1097/01.prs.0000253443.09780.0f 10.7759/cureus.59719 10.4137/OJCS.S11199 10.2106/JBJS.CC.23.00406 10.1055/s-2000-9945 |
ContentType | Journal Article |
DBID | AAYXX CITATION |
DOI | 10.5606/tgkdc.dergisi.2024.26053 |
DatabaseName | CrossRef |
DatabaseTitle | CrossRef |
DatabaseTitleList | CrossRef |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 2149-8156 |
EndPage | 270 |
ExternalDocumentID | 10_5606_tgkdc_dergisi_2024_26053 |
GroupedDBID | AAYXX ALMA_UNASSIGNED_HOLDINGS CITATION GJB RPM SW3 |
ID | FETCH-LOGICAL-c134t-3b9e50c6c73b5ad9a8969dc1ea9b6aa1a4803d88ad88dffac82296dfa336235c3 |
ISSN | 1301-5680 |
IngestDate | Wed Sep 18 12:54:44 EDT 2024 |
IsPeerReviewed | false |
IsScholarly | false |
Issue | 3 |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c134t-3b9e50c6c73b5ad9a8969dc1ea9b6aa1a4803d88ad88dffac82296dfa336235c3 |
ORCID | 0009-0008-6861-0717 0009-0001-7672-289X 0000-0001-7354-4015 0000-0001-9161-2632 0009-0008-4583-8815 |
PageCount | 10 |
ParticipantIDs | crossref_primary_10_5606_tgkdc_dergisi_2024_26053 |
PublicationCentury | 2000 |
PublicationDate | 2024-07-01 |
PublicationDateYYYYMMDD | 2024-07-01 |
PublicationDate_xml | – month: 07 year: 2024 text: 2024-07-01 day: 01 |
PublicationDecade | 2020 |
PublicationTitle | Türk göğüs kalp damar cerrahisi dergisi |
PublicationYear | 2024 |
References | ref-1 ref-28 ref-29 ref-7 ref-6 ref-9 ref-8 ref-3 ref-2 ref-5 ref-4 ref-15 ref-16 ref-13 ref-14 ref-11 ref-12 ref-10 ref-19 ref-17 ref-18 ref-26 ref-27 ref-24 ref-25 ref-22 ref-23 ref-20 ref-21 |
References_xml | – ident: ref-1 doi: 10.1532/hsf.3153 – ident: ref-7 doi: 10.1055/s-0039-1688760 – ident: ref-9 doi: 10.1002/micr.30509 – ident: ref-28 doi: 10.1097/00000637-198811000-00013 – ident: ref-16 doi: 10.1016/j.jtcvs.2008.03.051 – ident: ref-4 doi: 10.1186/s13019-017-0656-7 – ident: ref-21 doi: 10.1016/j.athoracsur.2018.01.057 – ident: ref-5 doi: 10.5999/aps.2018.01151 – ident: ref-24 doi: 10.1016/S0003-4975(10)61822-X – ident: ref-29 doi: 10.1055/s-0036-1583297 – ident: ref-8 doi: 10.1016/0003-4975(95)01035-1 – ident: ref-13 doi: 10.1002/micr.30743 – ident: ref-12 doi: 10.3109/2000656X.2013.769441 – ident: ref-25 doi: 10.1186/s13019-020-01264-2 – ident: ref-11 doi: 10.1055/s-0038-1629918 – ident: ref-6 doi: 10.5606/tgkdc.dergisi.2022.20958 – ident: ref-10 doi: 10.1016/j.bjps.2006.10.005 – ident: ref-15 doi: 10.1016/j.athoracsur.2004.04.082 – ident: ref-2 doi: 10.1097/SAP.0000000000001799 – ident: ref-14 doi: 10.1016/j.jtcvs.2016.01.053 – ident: ref-3 doi: 10.5761/atcs.oa.19-00293 – ident: ref-20 doi: 10.21037/jtd.2018.03.166 – ident: ref-23 doi: 10.1093/ejcts/ezt080 – ident: ref-18 doi: 10.3389/fcvm.2022.822540 – ident: ref-27 doi: 10.1097/01.prs.0000253443.09780.0f – ident: ref-17 doi: 10.7759/cureus.59719 – ident: ref-26 doi: 10.4137/OJCS.S11199 – ident: ref-19 doi: 10.2106/JBJS.CC.23.00406 – ident: ref-22 doi: 10.1055/s-2000-9945 |
SSID | ssj0000613485 |
Score | 1.9461392 |
Snippet | Background: This study aims to classify wound complications after median sternotomy and provide an up-to-date reconstructive algorithm for multidisciplinary... |
SourceID | crossref |
SourceType | Aggregation Database |
StartPage | 261 |
Title | Sternal wound types after median sternotomy and reconstruction using dead space-based approach |
Volume | 32 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lj9MwELbKcuGCQICABeQDnKKEJE6c5MhWlBUILnSl5ULkV6qqu22VJkLa38yPYMbOa1cgYA9NI0edOp5P8_J4hpDXlYkyKWTmq1gLP8FAU5EI7ldKmFDpNOT2kNjnL_z0LPl4np7PZj8nWUttIwN19dtzJbfhKowBX_GU7H9wdiAKA3AP_IUrcBiu_8Tjr66Cs_cDeyPZaOqha_ptD4RsPVsFYdfsLl2VJev9DhVjvdbGCTRw2QO5ooyPKk0PZcandusSN9RP5vXGW9k7jkZosXCjB28jLvaeFpei9pSpQX6tD2sgXGNUZNzlcJ3h1xer8fjZoq03MM9PSO4kqt3Xm3mKtFE5tIe2GoPp3Z-itoQV2PcPcBZ51j3taHgf3NyuXBbCt3Z7PcIRJ0M2bC-UQQj5KXcdnwJjx2Lw7HysdDOV5GOkdHT0nVh2Bd87DR-7ViU3lQfYfhjHaFYbrYJuiQKcT4A-HxsVZp8kcEOPDtmN4FchrdJSKjtKJVIqLaU75G6cFWk2iS05uyFiie0hO7ywSz1DYm__NK2JPTUxjJYPyP3Oo6HvHDwfkpnZPiLfO2hSC01qoUktNKmDJh2hSQGa9Do0qYUmRWjSCTRpD83H5Gzxfjk_9btWHr6Cl2p8JguThoqrjMlU6ELkBS-0iowoJBciEkkeMp3nAj66qoTCPgRcV4KBgcVSxZ6Qo-1ua54SCgRkwpOQCQkKKI4E7hXmLAfFxRST4TMS9QtS7l3FlvJvHHl-i98ck3sjWF-QI1gh8xIM1Ea-snz9BQ2DjmY |
link.rule.ids | 315,786,790,27957,27958 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Sternal+wound+types+after+median+sternotomy+and+reconstruction+using+dead+space-based+approach&rft.jtitle=T%C3%BCrk+g%C3%B6%C4%9F%C3%BCs+kalp+damar+cerrahisi+dergisi&rft.au=Can%2C+Bilgen&rft.au=Furkan+K%C4%B1r%C4%B1%C5%9F%2C+Yusuf&rft.au=Da%C4%9F%2C+Hatip&rft.au=%C3%87a%C4%9Fr%C4%B1+G%C3%BCzel%2C+Yunus&rft.date=2024-07-01&rft.issn=1301-5680&rft.eissn=2149-8156&rft.volume=32&rft.issue=3&rft.spage=261&rft.epage=270&rft_id=info:doi/10.5606%2Ftgkdc.dergisi.2024.26053&rft.externalDBID=n%2Fa&rft.externalDocID=10_5606_tgkdc_dergisi_2024_26053 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1301-5680&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1301-5680&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1301-5680&client=summon |