Treatment of Mediastinitis: Early Modified Robicsek Closure and Pectoralis Major Advancement Flaps Ahmed El Gamel, Nizar A Yonan, Rageb Hassan, Mark.

Slides:

Advertisements

Similar presentations

Keith B Allen, MD, Carl J Shaar, PhD The Annals of Thoracic Surgery

Advertisements

Complete Thoracic Mediastinal Lymphadenectomy Leads to a Higher Rate of Pathologically Proven N2 Disease in Patients With Non-Small Cell Lung Cancer

Omar A. Ali, MD, Nsidinanya Okike, MD, Robert G. Hogan, MD, Richard C

A modified parasternal wire technique for prevention and treatment of sternal dehiscence Rajeev Sharma, MCh, Deepak Puri, MCh, Bishnu P Panigrahi, MD,

Periklis Tomos, Elias Lachanas, MD, Panagiotis O

Coronary artery bypass grafting in patients with advanced left ventricular dysfunction Gregory D Trachiotis, MD, William S Weintraub, MD, Thomas S Johnston,

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

Immunology and failure of valved allografts in children

Clinical and Potential Use of Pharmacological Agents to Reduce Radial Artery Spasm in Coronary Artery Surgery Saina Attaran, MD, Lindsay John, MD, Ahmed.

A new modified Bentall procedure: the flanged technique

A Nondivided Intercostal Muscle Flap Further Reduces Pain of Thoracotomy: A Prospective Randomized Trial Robert James Cerfolio, MD, Ayesha S. Bryant,

Amr Mohammad Allama, MD The Annals of Thoracic Surgery

Closure of a Bronchopleural Fistula Using Decalcified Human Spongiosa and a Fibrin Sealant William R Baumann, Jack L Ulmer, Paul G Ambrose, Michael J.

Modified Ultrafiltration Attenuates Dilutional Coagulopathy in Pediatric Open Heart Operations Robert H Friesen, David N Campbell, David R Clarke, Michael.

J. Ernesto Molina, MD, PhD, Rachel Saik-Leng Lew, BS, Kasi J

CTSNet: a unique educational vehicle

Bifid sternum: neonatal surgical treatment

Brent A Grishkin, MD, Robert A Helsel, MD

Clinical Outcome After Poststernotomy Mediastinitis: Vacuum-Assisted Closure Versus Conventional Treatment Johan Sjögren, MD, Ronny Gustafsson, MD, PhD,

Surgical treatment of tracheomediastinal fistula from recurrent hodgkin’s lymphoma David G Tse, MD, Adam Summers, MD, James R Sanger, MD, George B Haasler,

Tarek M. Aziz, Malcolm I. Burgess, Ali N. Rahman, Colin S

A Protective Device for Negative-Pressure Therapy in Patients With Mediastinitis Richard Ingemansson, MD, PhD, Malin Malmsjö, MD, PhD, Sandra Lindstedt,

Improved Closure Technique for Uniportal Video-Assisted Thoracic Surgery: Double- Embedding Stitching Method Lijian Huang, MD, Lufeng Zhao, MD, Wenshan.

Surgical Repair of Long-Segment Cervical Esophageal Injury With a Sternocleidomastoid Myocutaneous Flap Juan A. Sanchez, MD, Lucian Panait, MD The Annals.

A simplified technique for closing thoracostomy incisions

Hassan Najafi, May 22, 1930–May 20, 2017 David M. Shahian, MD, L. Penfield Faber, MD, Douglas J. Mathisen, MD The Annals of Thoracic Surgery Volume.

Adjuvant treatment of deep sternal wound infection with collagenous gentamycin Rainer G Leyh, MD, Claus Bartels, MD, PhD, Hans-Hinrich Sievers, MD, PhD

Origins of the Cardiothoracic Surgery Network (CTSNet)

Infected aneurysm of the thoracic aorta

Stapling of an aortic arch aneurysm

Use of Amiodarone After Major Lung Resection

Modified Aortic Root Replacement Technique in Destructive Ventricular-Aortic Discontinuity Alireza Alizadeh Ghavidel, MD, Hoda Javadikasgari, MD, Anita.

Charles L Willekes, MD, Carl L Backer, MD, Constantine Mavroudis, MD

Support Your Specialty

Ho Jin Kim, MD, Joon Bum Kim, MD, Cheol Hyun Chung, MD

Hybrid Management of a Giant Left Main Coronary Artery Aneurysm

Richard P. Rand, Richard P. Cochran, Salim Aziz, Bradley O

Kathryn E. Engelhardt, MD, Malcolm M. DeCamp, MD, Anthony D

David R Lawrence, FRCS, Jatin B Desai, FRCS(CTh)

Congenital unilateral pulmonary artery agenesis and aspergilloma

Ko Un Park, MD, Kenneth Moquin, MD The Annals of Thoracic Surgery

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Pectoral Muscle Flap With V-Y Skin Paddle for Covering Sternal Defects

Editorial Board, January 2010

Reviewer Acknowledgment

Use of untreated pericardial patches for atrial septal defect closure

Lorenzo Spaggiari, MD, PhD, Ugo Pastorino, MD

Use of Barbed Suture in Robot-Assisted Mitral Valvuloplasty

Adenocarcinoma in a mid-esophageal diverticulum

Advancement flaps to treat superficial wound infections after cardiac operations Giuseppe Rescigno, MD, Miguel Sousa Uva, MD, Richard Raffoul, MD, Marcio.

Is there a role for pneumonectomy in pulmonary metastases?1

Ilias A. Kouerinis, MD, Antonios E. Loutsidis, MD, Panagiotis A

Beware the malignant jellyfish

Anthony P.C Yim, MD, Song Wan, MD, PhD, Tak Wai Lee, Ahmed A Arifi

Veno-Venous Extracorporeal Membrane Oxygenation in Surgery for Bronchial Repair Pekka Korvenoja, MD, Otto Pitkänen, MD, PhD, Ensio Berg, MD, Leena Berg,

Surgical Management of Aortopulmonary Window

Robert Lee Replogle, September 30, 1931–May 9, 2016

Tension pneumocephalus after excision of posterior mediastinal mass

Neal S Goldstein, MD The Annals of Thoracic Surgery

Modified Technique for Heterotopic Heart Transplantation in Small Primates Oktavijan P Minanov, MD, Pawel Kwiatkowski, MD, Sulli Popilskis, DVM, Robert.

“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:

Bioabsorbable weave technique for repair of pectus excavatum

Harold L. Lazar, MD, Elizabeth Oates, MD, Robert M. Beazley, MD

Minimally invasive resection of mediastinal parathyroid adenomas

Mark I. Block, MD The Annals of Thoracic Surgery

Bicuspid Aortic Valves and Dilatation of the Ascending Aorta: Reply

The Impact of New Technology on Cardiothoracic Surgical Practice

Eagle Syndrome Presenting After Blunt Trauma: A Case Series

Howard K. Song, MD, PhD, T. Sloane Guy, MD, Larry R

Negative pressure wound treatment improves Acute Physiology and Chronic Health Evaluation II score in mediastinitis allowing a successful elective pectoralis.

Presentation transcript:

Treatment of Mediastinitis: Early Modified Robicsek Closure and Pectoralis Major Advancement Flaps Ahmed El Gamel, Nizar A Yonan, Rageb Hassan, Mark T Jones, Colin S Campbell, Abdul K Deiraniya, Robert A.M Lawson The Annals of Thoracic Surgery Volume 65, Issue 1, Pages 41-46 (January 1998) DOI: 10.1016/S0003-4975(97)01063-1

Fig. 1 The vascular arcade supplying the pectoralis major muscle. The Annals of Thoracic Surgery 1998 65, 41-46DOI: (10.1016/S0003-4975(97)01063-1)

Fig. 2 Modified Robiseck closure. Notice that the vertical weave is only done one way and the ends used as a pulley to approximate the sternum. The Annals of Thoracic Surgery 1998 65, 41-46DOI: (10.1016/S0003-4975(97)01063-1)

Fig. 3 Pectoralis major advancement flaps sutured in the midline, covering the sternum. The Annals of Thoracic Surgery 1998 65, 41-46DOI: (10.1016/S0003-4975(97)01063-1)