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Poststernotomy mediastinitis treated by rectus muscle flap plugging.

N Ohtani¹, N Akasaka, T Kawakami

¹Department of Cardiovascular Surgery, Shin-Nittetsu Muroran General Hospital, Hokkaido, Japan.

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi

|December 30, 1999

Summary

The study presents a successful treatment for post-sternotomy mediastinitis using rectus muscle flap plugging. This effective surgical technique offers a solution for deep wound infections following aortic arch replacement surgery.

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Area of Science:

Cardiovascular Surgery
Thoracic Surgery
Infectious Disease Management

Background:

Mediastinitis following median sternotomy is a serious complication.
Standard treatment involves sternal curettage and filling dead space with flaps.
This study evaluates an alternative technique using a rectus muscle flap.

Observation:

A 75-year-old male patient developed mediastinitis after aortic arch replacement.
The infection was identified from drainage fluid post-surgery.
The patient underwent mediastinal irrigation, curettage, and rectus muscle flap plugging.

Findings:

The rectus muscle flap procedure was successfully performed.
The patient experienced complete wound healing without infection recurrence.

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This indicates the efficacy of the chosen surgical intervention.

Implications:

Early intervention with curettage and rectus muscle flap plugging is a highly effective treatment for post-sternotomy mediastinitis.
This technique may offer improved outcomes for patients with deep sternal wound infections.
Further research could explore this method's broader application in thoracic surgical infections.