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

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

1 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 (January 1998) DOI: /S (97)

2 Fig. 1 The vascular arcade supplying the pectoralis major muscle.
The Annals of Thoracic Surgery  , 41-46DOI: ( /S (97) )

3 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  , 41-46DOI: ( /S (97) )

4 Fig. 3 Pectoralis major advancement flaps sutured in the midline, covering the sternum. The Annals of Thoracic Surgery  , 41-46DOI: ( /S (97) )

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