The Split Pectoralis Flap: Combining the Benefits of Pectoralis Major Advancement and Turnover Techniques in One Flap.

Published on Jan 1, 2018in Plastic and Reconstructive Surgery4.209
· DOI :10.1097/PRS.0000000000003999
Paola Parisi9
Estimated H-index: 9
(Sapienza University of Rome),
Federico Lo Torto10
Estimated H-index: 10
+ 2 AuthorsNicolò Scuderi31
Estimated H-index: 31
#1Rodger H. Brown (BCM: Baylor College of Medicine)H-Index: 11
#2Safa E. SharabiH-Index: 12
Last. Shayan A. IzaddoostH-Index: 13
view all 5 authors...
The pectoralis major is a versatile flap used as an advancement or turnover flap for sternal wound treatment. The advancement flap provides suboptimal inferior sternal coverage and poorly fills mediastinal dead space. The turnover flap covers the inferior sternum and fills dead space but requires disinsertion of the muscle from the humerus, resulting in functional loss and cosmetic deformity.The authors describe a new technique of splitting the pectoralis muscle along its fibers, using the super...
8 CitationsSource
#1Bruno Carlesimo (Sapienza University of Rome)H-Index: 9
#2F Lo TortoH-Index: 8
Last. Ruggiero MH-Index: 1
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OBJECTIVE: Deep sternal wound infection (DSWI) is an uncommon but serious complication of open heart surgery being char - acterized by a high mortality rate and a consid - erable economic weight. Repair of sternal de - fects, compromised with infection, can be achieved in several ways. The aim of our study is to report our case load in the management of sternal wound infection. PATIENTS AND METHODS : In this study, we will report our twelve-year case load with bilateral pec - toralis major advan...
7 Citations
#1Shahzad G. Raja (Western Infirmary)H-Index: 26
#2Geoffrey Berg (Western Infirmary)H-Index: 18
43 CitationsSource
#1C. Scott Hultman (UNC: University of North Carolina at Chapel Hill)H-Index: 22
#2John H. Culbertson (Emory University)H-Index: 14
Last. Maurice J. Jurkiewicz (Emory University)H-Index: 27
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This study provides a retrospective analysis of 60 patients who underwent thoracic reconstruction with the omentum. Patients were identified by searching several databases to determine demographics, indications for surgery, operative technique, and postoperative course, including donor and recipient site morbidity. From January 1975 to May 2000, the authors harvested and transferred the omentum successfully (57 pedicled, 3 free) in 60 patients (mean age, 60 years; age range, 21-86 years) for ste...
74 CitationsSource
Cited By2
Deep sternal wound infections are a serious complication following sternotomy for cardiothoracic surgery. "Conventional" treatment provides debridement and secondary closure or closed catheter irrigation. The combination of the Negative Pressure Therapy with flap coverages is an accepted technique and one or both Pectoralis Major muscles could be chosen. A multistep protocol was adopted. One hundred and sixty seven patients were treated with the combination of Negative Pressure Therapy with the ...