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标题：Combined Vacuum-Assisted Closure Treatment with Laparoscopic Mobilization of an Omental Flap and Meshed Skin Grafts for Reconstruction of Infected Sternotomy Wounds: Two Cases
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作者：Veir, Zoran ; Smuđ, Sanda ; Bogdanić, Branko 等
期刊名称：Collegium Antropologicum
印刷版ISSN：0350-6134
出版年度：2009
卷号：33
期号：4
页码：1427-1430
出版社：Hrvatsko antropološko društvo
摘要：In cardiac surgery, poststernotomy wounds are life threatening complications, with mortality up to 50%. We described two patients, who underwent coronary artery bypass grafting and postoperatively developed a deep sternal wound infection. Reconstruction was combined with vacuum-assisted closure treatment, laparoscopic mobilization of an omental flap and split thicknes skin grafts. The omental flap is a well-vascularized local flap with a large surface area and has excellent immunologic and angiogenic properties. Both patients recovered completely. In our opinion, vacuum-assisted closure treatment and laparoscopic mobilization of great omentum is suitable option for treating deep sternal wounds.
关键词：sternal defects; vacuum-assisted closure treatment (VAC); omental flap; postoperative care