Pectoralis major flap sternal dehiscence
Nov 24, 2017 The patient had dehiscence of the sternal wound, and the unilateral pectoralis major muscle flap was used for reconstruction of the defect. This flap was able to completely cover the area of dehiscence of the sternotomy, and the patient presented aJun 29, 2018 Chest wall reconstructed with right unilateral pectoralis major muscle flap for sternal wound closure. Harvesting of transverse rectus abdominis myocutaneous (TRAM) flap to cover sternal defect. In this case, the internal mammary artery (IMA) was pectoralis major flap sternal dehiscence
Between October 1994 and March 1996, 14 consecutive patients with a wound dehiscence after median sternotomy for cardiac surgery were treated with pectoralis major myocutaneous advancement flaps. After thorough sternal wound debridement, the sternal edges were contoured to create a shallow defect.
Low sternal and xiphoid defects may be out of reach for the pectoralis flap; Hallock has reported his technique of addressing this issue using a pectoralis major muscle extended island flap, skeletonizing the pedicle in 18 patients with good success. 7 Advancement of the anterior rectus sheath to the midline in continuity with the pectoralis Jun 29, 2018 One major limitation of the pectoralis major, when used solely for flap coverage, is the limited extent to which it covers the inferior third of the sternotomy wound. In turn, this is the most common site for dehiscence after flap repair.pectoralis major flap sternal dehiscence A major limitation of the pectoralis major flap has been coverage of the inferior third of the sternotomy wound. [33, 34 Studies have shown that the lower portion of wounds, near the xiphisternum, is the most common site of dehiscence after flap repair.