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Ann Thorac Surg 1999;67:1538
© 1999 The Society of Thoracic Surgeons

Correspondence

Reply

Giuseppe Rescigno, MDa

a Department of Cardiac Surgery, Centre Cardiologique du Nord, 32 Rue des Moulins Gémeaux, 93000 Saint Denis, France

To the Editor

We thank Dr Massetti and associates for their comments about our article [1]. Occasionally we used the myocutaneous plastic procedures that they described (by means of pectoralis major and rectus abdominus muscle flaps) to treat the sequelae of severe poststernotomy infections. However, we believe that, thanks to the actual diagnosis and treatment protocols for mediastinitis, these severe, large tissue defects are actually very rare [2]. The technique we described is indicated for limited tissue losses associated with superficial poststernotomy infections. These conditions are not rare and can be treated easily by bilateral advancement flaps. Parallel full-thickness incisions to reduce the midline suture stress were never required in our series. Nevertheless, we agree that this modification could be useful in selected cases.

References

  1. Rescigno G., Sousa Uva M., Raffoul R., Scorsin M., Lessana A. Advancement flaps to treat superficial wound infections after cardiac operations. Ann Thorac Surg 1998;66:959-960.[Abstract/Free Full Text]
  2. Calvat S., Trouillet J.L., Nataf P., Vuagnat A., Chastre J., Gilbert C. Closed drainage using Redon catheters for local treatment of poststernotomy mediastinitis. Ann Thorac Surg 1996;61:195-201.[Abstract/Free Full Text]

Related Article

Advancement flaps for superficial sternal wound infection
Massimo Massetti, Gerard Babatasi, and Andre Khayat
Ann. Thorac. Surg. 1999 67: 1537-1538. [Extract] [Full Text] [PDF]




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