Abstract

PEREZ GARCIA, A. et al. Omental flap for management of sternal wound dehiscence. Cir. plást. iberolatinoam. [online]. 2013, vol.39, n.1, pp.81-85. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922013000100011.

Mediastinitis is one of the most serious complications from cardiac surgery. It is reported to occur in 0'5-5 % of sternotomy incisions, and this incidence is much higher in diabetic patients, obese, immunocompromised, COPD, etc. We report a case of a diabetic and morbid obese woman suffering mediastinitis after double coronary bypass surgery. For the reconstruction a transdiaphragmatic tunnelled omental flap was used. The omentum is useful to cover large defects. It has antiinfective properties and promotes revascularization of neighbouring tissues. Omental flap can be a highly effective treatment for patients with large sternal wounds and immune disorders and wound healing disorders.

Keywords : Mediastinitis; Sternum/reconstruction; Omentum; Omental flap.

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