Comparison of omental and pectoralis flaps for poststernotomy mediastinitis Carmelo A Milano, MD, Gregory Georgiade, MD, Lawrence H Muhlbaier, PhD, Peter.

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Comparison of omental and pectoralis flaps for poststernotomy mediastinitis Carmelo A Milano, MD, Gregory Georgiade, MD, Lawrence H Muhlbaier, PhD, Peter K Smith, MD, Walter G Wolfe, MD The Annals of Thoracic Surgery Volume 67, Issue 2, Pages 377-380 (February 1999) DOI: 10.1016/S0003-4975(99)00022-3

Fig 1 (A) Antibiotic irrigation was used to debride the sternal edge and anterior mediastinum; extensive sternectomy was avoided. (B) A separate, small abdominal incision is made and the omentum is mobilized. (C) The omental flap is tunneled through the diaphragm and extends to the superior mediastinum. Closed suction drains are placed around the flap. (D) After careful debridement of skin edges, the wounds are closed with staples and retention sutures. The Annals of Thoracic Surgery 1999 67, 377-380DOI: (10.1016/S0003-4975(99)00022-3)