ArticleInternational wound journal2020
Deep sternal wound infection following cardiac surgery: A comparison of the monolateral with the bilateral pectoralis major flaps.
Article in International wound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Immediate flap increases patient safety for deep sternal wound infection: A meta-analysis.International wound journal · 2023Pooled it
- Mortality after sternal reconstruction with pectoralis major flap vs omental flap for postsurgical mediastinitis: A systematic review and meta-analysis.Journal of cardiac surgery · 2022Pooled it
- Antibiotic-Loaded Calcium Sulphate Beads in Wound Management: A Scoping Review of Emerging Applications in Plastic and Reconstructive Surgery.International wound journal · 2026Article
- Intradermal Application of Allogenic Wharton's Jelly Mesenchymal Stem Cells for Chronic Post-Thoracotomy Wound in an Elderly Patient After Coronary Artery Bypass Grafting: Clinical Case with Brief Literature Review.Diseases (Basel, Switzerland) · 2026Article
- When Rewiring Fails-The Enduring Role of the Pectoralis Major Flap in Sternal Wound Reconstruction.Journal of clinical medicine · 2025Article
- Sternal Wound Reconstruction Following Deep Sternal Wound Infection: Past, Present and Future: A Literature Review.Journal of cardiovascular development and disease · 2024Review
- Thorax support vest to prevent sternal wound infections in cardiac surgery patients-a systematic review and meta-analysis.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Impact of local delivery of allogeneic chondrocytes on the biological response and healing of the sternum bones after sternotomy.Scientific reports · 2023Article
- Combined Band and Plate Fixation as a New Individual Option for Patients at Risk of Sternal Complications after Cardiac Surgery: A Single-Center Experience.Biomedicines · 2023Article
- Using Closed Incision Negative Pressure Therapy Specialty Dressings over Incisions following Sternal Dehiscence Reconstruction.Plastic and reconstructive surgery. Global open · 2022Article
- Efficacy and safety of pectoralis muscle flap combined rectus abdominis muscle sheath fasciocutaneous flap for reconstruction of sternal infection.International wound journal · 2022Article
- Our Experiences in the Treatment of Anterior Chest Wall Infections (2015 - 2021).Materia socio-medica · 2022Article
- Case Report: Endotracheal tube as life-saving tool to control an aortic rupture in intensive care unit.F1000Research · 2022Article
- Bilateral partial pectoralis major muscle turnover flaps for the management of deep sternal wound infection following cardiac surgery.Journal of thoracic disease · 2020Article
- Deep sternal wound infection following cardiac surgery: A comparison of the monolateral with the bilateral pectoralis major flaps.International wound journal · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Deep sternal wound infections are a serious complication following sternotomy for cardiothoracic surgery. "Conventional" treatment provides debridement and secondary closure or closed catheter irrigation. The combination of the Negative Pressure Therapy with flap coverages is an accepted technique and one or both Pectoralis Major muscles could be chosen. A multistep protocol was adopted. One hundred and sixty seven patients were treated with the combination of Negative Pressure Therapy with the Pectoralis Major muscle flap: 86 monolateral flap and 81 bilateral flap reconstruction. The main complications (hematoma, seroma, dehiscence, and re-infection), the need for re-intervention, mortality rates, Intensive Care Unit, and hospitalisation time were assessed. The mono-pectoralis group had fewer complications and need for revision, with a shorter hospital stay. A statistically significant difference emerged for the hematoma rate (P = .0079). Monolateral flap should to be preferred because with the same coverage effectiveness, it guarantees the saving of controlateral muscle with its functionality and the possibility of its use in case of failure. Furthermore, as the technique is less invasive, it can be reserved for more fragile patients.
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Registered trials
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