Comparison Between Convergent Sliding of Myocutaneous Flap Method and Conventional Method for Treating the Patients at Early Stage Median Sternotomy Wound Dehiscence After Cardiac Surgery
10.3969/j.issn.1000-3614.2016.04.016
- VernacularTitle:比较肌皮瓣平移与常规方式治疗心脏手术后早期胸骨正中切口不愈合的效果
- Author:
Shiju ZHANG
;
Xueying SONG
;
Min SONG
;
Yizhen WEI
;
Xiaohui ZHOU
;
Shuiyun WANG
- Publication Type:Journal Article
- Keywords:
Cardiac surgical procedures;
Median sternotomy;
Poor wound healing
- From:
Chinese Circulation Journal
2016;31(4):381-384
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To compare the convergent sliding of bilateral pectoral myocutaneous lfap method and conventional method for treating the early stage median sternotomy wound dehiscence in patients after cardiac surgery. Method: A total of 36 relevant patients treated in our hospital from 2010-04 to 2014-04 were studied and they were divided into 2 groups: Conventional group, the patients received sufficient draining and dressing changes followed by interrupted simple suture,n=16 and Convergent sliding group, the patients received convergent sliding of bilateral pectoral myocutaneous lfap,n=20. The clinical conditions after treatment were compared between 2 groups. Results: There were 6 patients received re-suture after the ifrst debridement because of poor healing in Conventional group, no such event happened in Convergent sliding group, P<0.05. All patients were discharged and no death occurred. In Conventional group and Convergent sliding group, the open drainage time were (7.2 ± 3.2) days and (3.3 ± 1.1) days,P<0.05; hospital stay time from the first debridement and suture were (10.4 ± 5.4) days and (8.2 ± 1.9) days,P>0.05; the median hospital stay time from discovering wound problem to wound healing and discharge were 13.0 (10.75, 19.5) days and 12.0 (10.0, 13.0) days, P>0.05. Conclusion: Compared to conventional method, convergent sliding of bilateral pectoral myocutaneous lfap method may obtain the better success rate of wound debridement and suture by shorter time for treating the early stage median sternotomy wound dehiscence in patients after cardiac surgery.
