Sternal wound reconstruction with porcine acellular dermal matrix (strattice) for poststernotomy mediastinitis
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Дата
2013-09
Автори
Y. Yordanov
A. Shef
V. Vaseva
J. M. Lasso
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ISSN на списанието
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Издател
Централна медицинска библиотека - МУ София / Central Medical Library - MU Sofia
Резюме
Summary. Sternal reconstruction could be a complex and challenging procedure.
Common indications are defects after heart surgery, infections, tumour ablation,
radiation necrosis, congenital deformities and trauma. Aloplastic materials
are often used for sternal stabilization and regional fl aps are applied to provide
well vascularized soft tissue coverage. Although numerous materials are available,
acellular dermal matrice have some advantage that could be of benefi t in the repair
of the anterior mediastinum and chest wall. We present a case of a 72-year-old
male patient whit mediastinitis and sternal dehiscence after triple-vessel coronary
artery bypass grafting and failure of the initial chest wall closure. After conservative
treatment and VAC-therapy, titanium plates were used to restore the sternal
continuity. Porcine acellular dermal matrix (Strattice™ Tissue Matrix) was applied
for wrapping the fi xation plates and reinforcing the pectoralis muscle fl aps used for
soft tissue coverage. Due to its ability to become incorporated and vascularized, to
resist wound infections and to provide stability, Strattice seems to be a promising,
although probably not enough effi cient alternative of the synthetic materials. To
our knowledge, this is the fi rst report in the Bulgarian scientifi c literature of sternal reconstruction by using a porcine acellular dermal matrix (Strattice).
Описание
Address for correspondence:
Yordan Petrov Yordanov, MD, PhD;
Unit of Plastic Surgery and Burns;
Military Medical Academy – Sofia, Bulgaria;
3, Georgy Sofi isky Blvd.;
1606 Sofia;
Mobile: +359 887 56 00 54 ;
e-mail: yordanov_vma@abv.bg
Ключови думи
sternal reconstruction, mediastinitis, porcine acellular dermal matrix, Strattice
Цитирания
Y. Yordanov, A. Shef, V. Vaseva and J. M. Lasso. Sternal wound reconstruction with porcine acellular dermal matrix (strattice) for poststernotomy mediastinitis - Acta medica bulgarica , 40, 2013, No 2, 10-17.