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Ann Thorac Surg 2008;86:1012-1015. doi:10.1016/j.athoracsur.2008.02.054
© 2008 The Society of Thoracic Surgeons
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Case Reports

Reconstruction of Large Post-Sternotomy Wound With Bilateral "V-Y Fasciocutaneous Advancement Flaps"

Fatih Uygur, MD, Celalettin Sever, MD*, Ersin Ulkur, MD, Bahattin Celikoz, MD

Gülhane Military Medical Academy and Medical Faculty, Haydarpasha Training Hospital, Kadiköy, Istanbul, Turkey

Accepted for publication February 18, 2008.

* Address correspondence to Dr Sever, GATA Haydarpasa Egitim Hastanesi. Plastik ve Rekonstrüktif Cerrahi Servisi. Selimiye, Mah. Tibbiye Cad., Kadiköy, Istanbul, 34668, Turkey (Email: drcsever{at}hotmail.com).

Post-sternotomy wounds are highly dangerous complications after a median sternotomy. Many different methods have been described for reconstruction of post-sternotomy wounds. The treatment is multifactorial. The treatment depends on the severity of the wound and various patient factors. We evaluate a novel method for closure of sternal dehiscence of a patient who has multiple comorbid problems, including diabetes mellitus, hypertension, and chronic obstructive pulmonary disease. In our method, after debridement, the "bilateral V-Y fasciocutaneous advancement flaps" were used for reconstruction. This method presents a successful resolution of an infected median sternotomy wound. It is a simple, rapid, and effective procedure associated with low mortality, morbidity, and short hospital stay.






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