MACROMASTIA AS A FACTOR IN STERNAL WOUND DEHISCENCE FOLLOWING CARDIAC-SURGERY - MANAGEMENT COMBINING CHEST-WALL RECONSTRUCTION AND REDUCTION MAMMAPALSTY

被引：17

作者：

COPELAND, M

SENKOWSKI, C

ERGIN, MA

LANSMAN, S

机构：

[1] Division of Plastic and Reconstructive Surgery, Department of Surgery, Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, New York

来源：

JOURNAL OF CARDIAC SURGERY | 1992年 / 7卷 / 03期

关键词：

MEDIAN STERNOTOMY; WOUND DEHISCENCE; MACROMASTIA;

D O I：

10.1111/j.1540-8191.1992.tb00813.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Major sternal wound infection occurs in nearly 2% of patients following coronary artery bypass graft surgery. The relationship of this complication to gender has not been reported in detail, nor has female breast size previously been implicated as a factor increasing the risk of sternotomy dehiscence. We report two cases of sternotomy wound dehiscence in women with large, pendulous breasts undergoing myocardial revascularization surgery and postulate that the weight of large, unsupported breasts produced inferolateral tension on the midline sternotomy incisions, contributing to dehiscence of the wounds. Chest wall reconstruction was accomplished using pectoralis muscle flaps, and the procedures were combined with amputative reduction of the size of the breasts, with subsequently successful healing in each case. Combining sternal reconstruction with breast reduction surgery may lead to improved secondary outcome, and postoperative use of supportive brassieres may reduce the frequency of this complication.

引用

页码：275 / 282

页数：8

共 9 条

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