Application of the skin-subcutaneous-fascial-muscular flap on the superior epigastric artery to close the defect of the anterior chest wall
https://doi.org/10.24884/0042-4625-2022-181-3-76-80
Abstract
We presented the case history of a 71-year-old patient who underwent sternotomy and aortic valve replacement, which was complicated by the development of poststernotomy mediastinitis. A good result was noted in the treatment with vacuum-assisted dressings at the stage of wound cleansing, followed by plasty of the anterior chest wall with a skinsubcutaneous-fascial-muscular flap on the superior epigastric artery.
About the Authors
M. A. Medvedchikov-Ardiia
Samara State Medical University; Samara Regional Clinical Hospital named after V. D. Seredavin
Russian Federation
Competing Interests:
Russian Federation
Medvedchikov-Ardiia Mikhail A., Cand. of Sci. (Med.), Thoracic Surgeon of the Surgical Thoracic Department, Samara Regional Clinical Hospital named after V. D. Seredavin (Samara, Russia), Associate Professor of the Department of Surgery of the Institute of Professional Education, Samara State Medical University
87, Chapaevskaya str., Samara, 443099
Competing Interests:
The authors declare no conflict of interest
E. A. Korymasov
Samara State Medical University; Samara Regional Clinical Hospital named after V. D. Seredavin
Russian Federation
Competing Interests:
Russian Federation
Korymasov Evgenii A., Dr. of Sci. (Med.), Professor, Head of the Department of Surgery of the Institute of Professional Education, Samara State Medical University; Head of Surgery Clinic, Samara Regional Clinical Hospital named after V. D. Seredavin
Samara
Competing Interests:
The authors declare no conflict of interest
A. S. Benian
Samara State Medical University
Russian Federation
Competing Interests:
Russian Federation
Benyan Armen S., Dr. of Sci. (Med.), Minister of Health of the Samara Region, Professor of the Department of Surgery of the Institute of Professional Education
Samara
Competing Interests:
The authors declare no conflict of interest
References
1. Chello C, Lusini M, Nenna A, Nappi F, Spadaccio C, Satriano UM, Cardetta F, Mastroianni C, Chello M. Deep Sternal Wound Infection (DSWI) and Mediastinitis After Cardiac Surgery: Current Approaches and Future Trends in Prevention and Management. Surg Technol Int. 2020 May 28;36:212-216. PMID: 32215903.
2. Phoon PHY, Hwang NC. Deep Sternal Wound Infection: Diagnosis, Treatment and Prevention. J Cardiothorac Vasc Anesth. 2020 Jun;34(6):1602-1613. doi: 10.1053/j.jvca.2019.09.019. Epub 2019 Sep 18. PMID: 31623967.
3. Piwnica-Worms W, Azoury SC, Kozak G, Nathan S, Stranix JT, Colen D, Othman S, Vallabhajosyula P, Serletti J, Kovach S. Flap Reconstruction for Deep Sternal Wound Infections: Factors Influencing Morbidity and Mortality. Ann Thorac Surg. 2020 May;109(5):1584-1590. doi: 10.1016/j.athoracsur.2019.12.014. Epub 2020 Jan 23. PMID: 31982440.
4. Tricard J, Chermat A, El Balkhi S, Denes E, Bertin F. An antibiotic loaded ceramic sternum to treat destroyed infected sternum: 4 cases. J Thorac Dis. 2020 Mar;12(3):209-216. doi: 10.21037/jtd.2020.01.70. PMID: 32274086; PMCID: PMC7138964.
5. Pan T, Li K, Fan FD, Gao YS, Wang DJ. Vacuum-assisted closure vs. bilateral pectoralis major muscle flaps for deep sternal wounds infection. J Thorac Dis. 2020 Mar;12(3):866-875. doi: 10.21037/jtd.2019.12.76. PMID: 32274154; PMCID: PMC7139061.
6. Schiraldi L, Jabbour G, Centofanti P, Giordano S, Abdelnour E, Gonzalez M, Raffoul W, di Summa PG. Deep sternal wound infections: Evidence for prevention, treatment, and reconstructive surgery. Arch Plast Surg. 2019 Jul;46(4):291-302. doi: 10.5999/aps.2018.01151. Epub 2019 Jul 15. PMID: 31336416; PMCID: PMC6657195.
7. Korymasov E.A., Medvedchikov-Ardiia M.A. Poststernotomy mediastinitis. M.: Pero, 2021. 156 p
8. Yu CM, Yu CM, Yao WT, Chen YF, Lee AL, Liu YC, Tu CP, Huang WC, Tung KY, Tsai MF. Efficacy and safety of pectoralis muscle flap combined rectus abdominis muscle sheath fasciocutaneous flap for reconstruction of sternal infection. Int Wound J. 2022 Mar 15. doi: 10.1111/iwj.13788. Epub ahead of print. PMID: 35289489.
9. Grapow M, Haug M, Tschung C, Winkler B, Banerjee P, Heinisch PP, Fassl J, Reuthebuch O, Eckstein F. Therapy options in deep sternal wound infection: Sternal plating versus muscle flap. PLoS One. 2017 Jun 30;12(6):e0180024. doi: 10.1371/journal.pone.0180024. PMID: 28665964; PMCID: PMC5493354.
10. Hever P, Singh P, Eiben I, Eiben P, Nikkhah D. The management of deep sternal wound infection: Literature review and reconstructive algorithm. JPRAS Open. 2021 Mar 6;28:77-89. doi: 10.1016/j.jpra.2021.02.007. PMID: 33855148; PMCID: PMC8027694.
11. Hämäläinen E, Laurikka J, Huhtala H, Järvinen O. Vacuum assistance therapy as compared to early reconstructive treatment in deep sternal wound infection. Scand J Surg. 2021 Jun;110(2):248-253. doi: 10.1177/1457496920979289. Epub 2020 Dec 16. PMID: 33327852; PMCID: PMC8258712.
12. Lonie S, Hallam J, Yii M, Davis P, Newcomb A, Nixon I, Rosalion A, Ricketts S. Changes in the management of deep sternal wound infections: a 12-year review. ANZ J Surg. 2015 Nov;85(11):878-81. doi: 10.1111/ans.13279. Epub 2015 Sep 1. PMID: 26331481.
13. RF patent for the invention No. 2765632/ 01.02.2022. Bull. No. 4. Medvedchikov-Ardiia M.A., Lysov N.A., Korymasov E.A., Benyan A.S. A method for plasty of a chest wall defect with a full-thickness skin-subcutaneous-fascio-muscular flap on the superior epigastric artery.
14. Ji Q, Zhao Y, Liu H, Yang Y, Wang Y, Ding W, Xia L, Wei L, Wang C. Impacts of Skeletonized Bilateral Internal Mammary Artery Bypass Grafting on the Risk of Deep Sternal Wound Infection. Int Heart J. 2020 Mar 28;61(2):201-208. doi: 10.1536/ihj.19-311. Epub 2020 Mar 14. PMID: 32173697.
15. Spindler N, Kade S, Spiegl U, Misfeld M, Josten C, Mohr FW, Borger M, Langer S. Deep sternal wound infection - latissimus dorsi flap is a reliable option for reconstruction of the thoracic wall. BMC Surg. 2019 Nov 21;19(1):173. doi: 10.1186/s12893-019-0631-4. PMID: 31752814; PMCID: PMC6868737.
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Review
For citations:
Medvedchikov-Ardiia M.A., Korymasov E.A., Benian A.S. Application of the skin-subcutaneous-fascial-muscular flap on the superior epigastric artery to close the defect of the anterior chest wall. Grekov's Bulletin of Surgery. 2022;181(3):76-80. (In Russ.) https://doi.org/10.24884/0042-4625-2022-181-3-76-80
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