Successful treatment of sternal osteomyelitis after pneumonectomy using a pedicled omental flap.

被引：12

作者：

Miwa K. ^{[1
]}

Takamori S. ^{[1
]}

Mitsuoka M. ^{[1
]}

Hayashi A. ^{[1
]}

Fukunaga M. ^{[1
]}

Shirouzu K. ^{[1
]}

机构：

[1] Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume

来源：

The Japanese Journal of Thoracic and Cardiovascular Surgery | 2001年 / 49卷 / 8期

关键词：

pneumonectomy; sternal osteomyelitis; mediastinitis; pedicled omental flap;

D O I：

10.1007/BF02919550

中图分类号：

学科分类号：

摘要：

We report here the case of a 64-year-old man with sternal osteomyelitis after pneumonectomy through a median sternotomy who was successfully treated using a pedicled omental flap. This is the first report in the literature to describe sternal osteomyelitis and mediastinitis after pneumonectomy. In this case, the visceral pleura of the remnant right lung was located just under the infected sternum. Careful management is recommended because empyema pleurae can be a fatal complication.

引用

页码：522 / 524

页数：2

共 46 条

[1]

Grossi EA(1991)Sternal wound infections and use of internal mammary artery grafts J Thorac Cardiovasc Surg 102 342-7

[2]

Esposito R(1980)Sternal wound complications management and results J Thorac Cardiovasc Surg 80 861-7

[3]

Harris LJ(1980)Infected median sternotomy wound Ann Surg 191 738-44

[4]

Crooke GA(1999)Curative report of two cases with MRSA mediastinitis after cardiovascular surgery, treated by new irrigation technique Jpn J Thorac Surg 52 163-7

[5]

Galloway AC(1985)Mediastinitis after cardiac valve operations: impact upon survival Thorac Cardiovasc Surg 90 517-22

[6]

Colvin SB(1995)Use of the omentum in the management of sternal wound infection after cardiac transplantation Plast Reconstr Surg 95 697-702

[7]

Serry C(1997)Flap closure of postpneumonectomy empyema Plast Reconstr Surg 99 437-42

[8]

Bleck PC(1999)Usefulness of the pedicled omental graft in thoracic surgery Ann Thorac Cardiovasc Surg 5 220-4

[9]

Javid H(1989)Use of the omentum in chestwall reconstruction Surg Clin North Am 69 1029-46

[10]

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