TY - JOUR
T1 - Pectoralis major turnover versus advancement technique for sternal wound reconstruction
AU - Zahiri, Hamid R.
AU - Lumpkins, Kimberly
AU - Kelishadi, Shahrooz
AU - Stromberg, Jeffrey A.
AU - Silverman, Ronald P.
AU - Slezak, Sheri
AU - Goldberg, Nelson H.
AU - Holton, Luther
AU - Singh, Devinder P.
PY - 2013/2/1
Y1 - 2013/2/1
N2 - BACKGROUND: We compared the efficacy of pectoralis turnover versus advancement technique for sternal wound reconstruction. METHODS: A retrospective chart review was performed, December 1989 to December 2010, to compare postoperative complication rates between pectoralis major turnover versus pectoralis major advancement reconstruction techniques. Complications included hematomas, wound infections, tissue necrosis, dehiscence, and need for reoperation. Pearson χ2 and logistic regression were used and significance was P < 0.05. RESULTS: Sixty-seven patients received 91 tissue flaps. Eleven patients (16%) required reoperation due to complications, including recurrent wound infection, tissue necrosis, wound dehiscence, mediastinitis, and hematoma formation. Four patients (6%) were treated conservatively for minor complications. Overall, complication rates were significantly higher after pectoralis major advancement reconstruction (32.5% vs. 3.7%, P = 0.004). CONCLUSIONS: When feasible, pectoralis major turnover flap offers a superior reconstructive technique for complex sternal wounds, with diminished complications compared with the pectoralis advancement flap.
AB - BACKGROUND: We compared the efficacy of pectoralis turnover versus advancement technique for sternal wound reconstruction. METHODS: A retrospective chart review was performed, December 1989 to December 2010, to compare postoperative complication rates between pectoralis major turnover versus pectoralis major advancement reconstruction techniques. Complications included hematomas, wound infections, tissue necrosis, dehiscence, and need for reoperation. Pearson χ2 and logistic regression were used and significance was P < 0.05. RESULTS: Sixty-seven patients received 91 tissue flaps. Eleven patients (16%) required reoperation due to complications, including recurrent wound infection, tissue necrosis, wound dehiscence, mediastinitis, and hematoma formation. Four patients (6%) were treated conservatively for minor complications. Overall, complication rates were significantly higher after pectoralis major advancement reconstruction (32.5% vs. 3.7%, P = 0.004). CONCLUSIONS: When feasible, pectoralis major turnover flap offers a superior reconstructive technique for complex sternal wounds, with diminished complications compared with the pectoralis advancement flap.
KW - Pectoralis major advancement
KW - Pectoralis major turnover
KW - Sternal reconstruction
KW - Tissue flaps
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U2 - 10.1097/SAP.0b013e3182367dc5
DO - 10.1097/SAP.0b013e3182367dc5
M3 - Review article
C2 - 22791058
AN - SCOPUS:84872949476
SN - 0148-7043
VL - 70
SP - 211
EP - 215
JO - Annals of plastic surgery
JF - Annals of plastic surgery
IS - 2
ER -