Algorithm for classification and treatment of poststernotomy wound ...

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Figure 3. (a) Frontal and (b) side view showing a good result with an omental flap two yearsafter the reconstruction.
Table I. Modification of the Jones’s classification of sternal wound infectionType Classification of wound First choice of treatment1 Superficial wound dehiscenceStable sternumSterile (Gram stain of fluid from sternal puncture)Debridement, dressing, secondary closure – direct, local flaps orsplit-skin graft2 Unstable sternum (sternal dehiscence)A-Sterile viable boneB-Sternal osteitis, non-viable bone, upper two-thirdsC- Sternal osteitis, non-viable bone, lower thirdDebridement, rewiring (Robicsek)Partial sternectomy (radical debridement)Pedicled pectoralis major transposition, advancement or turnoverPartial sternectomy (radical debridement)Pedicled omental flap (second choice - latissimus dorsi,bipedicled pectoralis major plus rectus abdominis, or VRAM)3 Mediastinitis (suppurative) Total sternectomyOmentum pedicled flap plus pectoralis major advancement flap4 2 or 3 with septicaemia Radical debridement, delayed closure (
Page 1 and 2: Središnja medicinska knjižnicaVla
Page 3 and 4: AbstractThe treatment of sternal wo
Page 5 and 6: esection of all non-viable tissue a
Page 7 and 8: ResultsThirty-one patients had ster
Page 9 and 10: mediastinitis should be defined as
Page 11 and 12: attributes, including cellular prol
Page 13 and 14: References[1] Oh AK, Lechtman AN, W
Page 15: Legends to figuresFigure 1. Thoraci
Page 19: Table III. The patients observation

Algorithm for classification and treatment of poststernotomy wound ...

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