A case of chest wall reconstruction with pedicled rib-latissimus dorsi osteo-muscle flap for sternal osteomyelitis and mediastinitis

DOI Web Site 7 References

Bibliographic Information

Other Title
  • 胸骨骨髄炎・縦隔炎に対して有茎肋骨付き広背筋弁で胸壁再建を施行した1例

Search this article

Abstract

<p>A 78-year-old woman fell and presented to her previous doctor with chief complaints of an abrasion on her left arm, posterior neck pain, and anterior chest pain.</p><p>She was transferred to our department for further evaluation and treatment, diagnosed with cellulitis of the left arm, Th2-3 spondylolisthesis, sternum body fracture, sternal osteomyelitis with a chest wall abscess, an anterior mediastinal abscess, and right-sided pleural empyema caused by methicillin-susceptible Staphylococcus aureus infection. Surgical debridement including resection of the infected sternum body and pleural curettage and lavage with video-assisted thoracic surgery were performed. The sternal body defect was managed by negative-pressure wound therapy with instillation and dwelling (NPWTid) following debridement. Reconstruction of the chest wall with the pedicled rib-latissimus dorsi (RLD) osteo-muscle flap was performed in the 2nd-stage operation. She showed an uneventful postoperative course, and was discharged home on the 39th day after admission. This case suggests that reconstruction with a pedicled RLD osteo-muscle flap and NPWTid are useful options for sternal osteomyelitis and mediastinitis.</p>

Journal

References(7)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top