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Modified Pectoralis Major Flap Repair of Sternal Necrosis
after Median Sternotomy
(#2001-02889 - October 31, 2001)
Sukumaran K. Nair, FRCS, Ian Hunt, MRCS, David P. Jenkins, FRCS(CTh),
Jonathan R. Anderson, FRCS(CTh)
Hammersmith Hospital, London
ABSTRACT
Median sternotomy is complicated by sternal dehiscence
in 1-5% of cases [Belcher 1990]. Rewiring of the dehisced
sternum can be done in most instances if the sternal margins
are viable. The dehisced unstable sternum can be stabilized
using tissue transfer if viable sternum is absent. This is usually
performed by reconstructive surgeons using either pectoralis
major flap [Pairolero 1991], omentum [Weinzwerg
1995] or prosthetic material [Deschamps 1999]. We describe
a simple method of repair using a modified bilateral pectoralis
major flap with good results.
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