J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1854KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 92(8): 1031-1034, 1991

Case report

PECTORALIS MAJOR MUSCLE FLAPS FOR CLOSURE OF THE INFECTED MEDIAN STERONOTOMY WOUND

Department of Thoracic Surgery, Juntendo University, School of Medicine, Tokyo, Japan

Shiro Sasaguri, Yasumasa Hirooka, Yasuyuku Hosoda, Kazutaka Yamamoto, Minoru Tahara, Shiori Kawasaki

A case of poststernotomy mediastinitis due to methicillin-resistant Staphylococus aureus after aortocoronary bypass procedure was treated with debridement, open clean packing, and delayed wound closure by the technique of pectoral muscle flap mobilization. The cosmetic and functional results were excellent.
This technique seems to be a very effective method of treatment for the serious complication of deep sternal infection with mediastinitis after cardiac operation.

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