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Title: Laparoscopic omentoplasty and split skin graft for deep sternal wound infection and dehiscence patient
Authors: Sladden, David
Darmanin, Francis X.
Axisa, Benedict
Schembri, Kevin
Galea, Joseph
Keywords: Sternotomy
Wound healing
Chest -- Surgery
Laparoscopic surgery
Issue Date: 2016
Publisher: Malta Medical Journal
Citation: Malta Medical Journal. 2016, Vol. 28(1), p. 57-63
Abstract: Treatment of sternotomy dehiscence secondary to infection is complex. We describe a case where following debridement and negative pressure therapy the greater omentum was harvested laparoscopically, pedicled on the right gastroepiploic artery and transposed through a subxiphoid window and laid into the chest wound. The omentum was covered with a split skin graft. The omental transposition provided a healthy vascular bed for the skin graft to be laid on top of. This technique allows for larger defects to be closed when due to the amount of bone loss the sternum cannot be brought together. Such procedures are normally performed when all other measures have failed and myocutaneous flaps cover the omentoplasty. Our case is novel in that the laparoscopic harvest and the use of direct skin grafting make this an option to be considered earlier as a single definitive procedure.
Appears in Collections:MMJ, Volume 28, Issue 1
MMJ, Volume 28, Issue 1
Scholarly Works - FacM&SSur

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