Pearl S N, Dibbell D G
Surg Gynecol Obstet. 1984 Jul;159(1):47-52.
Reconstruction after median sternotomy infections is a difficult problem. We have presented ten consecutive patients with a wide variety of underlying cardiac illnesses who have had this dreaded complication develop. All of these patients have undergone successful reconstruction after adequate debridement and elimination of the mediastinal dead space using a combination of well vascularized omentum and pectoralis major muscle flaps. Stability of the chest wall has been accomplished primarily with pectoralis major muscle flaps. Complications have been few, morbidity has been significantly reduced and mortality, thus far, has been eliminated, although we certainly have no expectations that it will remain so.
正中开胸术后感染的重建是一个难题。我们连续介绍了十位患有各种潜在心脏疾病且出现了这种可怕并发症的患者。所有这些患者在充分清创并使用血运丰富的大网膜和胸大肌瓣组合消除纵隔死腔后均成功进行了重建。胸壁稳定性主要通过胸大肌瓣实现。并发症很少，发病率显著降低，到目前为止死亡率已消除，尽管我们当然不期望一直如此。
