Repair of the dehisced median sternotomy incision
1Division of Cardio-Thoracic Surgery, Emory University School of Medicine, Atlanta, Georgia.
The Surgical Clinics of North America
|October 1, 1989
Abstract:
Mediastinitis after open-heart surgery is a potentially disabling, even lethal, condition. The utilization of muscle flaps in treatment has lowered the mortality rate from 40 to 5 per cent and decreased the hospitalization time to 12 days. The authors recommend a single reverse turnover pectoralis major flap based on the internal mammary perforators as the procedure of choice in these cases.


