Greater omentum flap in the treatment of infant postoperative mediastinitis
INTRODUCTION: Postoperative mediastinitis is a serious condition that presents high mortality rates. The greater omentum flap has been used with good results in postoperative mediastinitis after cardiac surgery. The use of this approach has not been reported in infants probably because at this age,...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2016-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/1769/en_v31n3a16.pdf |
| _version_ | 1797419445485830144 |
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| author | Nárlei Amarante Pereira Aloísio Ferreira da Silva Filho José Carlos Ribeiro Resende Alves Erick Horta Portugal Marconi de Oliveira Ruas Rebeca Paohwa Liu da Fonseca Cláudio Azevedo Salles Augusto César de Melo Almeida Raíssa Lemos Ferreira da Silva |
| author_facet | Nárlei Amarante Pereira Aloísio Ferreira da Silva Filho José Carlos Ribeiro Resende Alves Erick Horta Portugal Marconi de Oliveira Ruas Rebeca Paohwa Liu da Fonseca Cláudio Azevedo Salles Augusto César de Melo Almeida Raíssa Lemos Ferreira da Silva |
| author_sort | Nárlei Amarante Pereira |
| collection | DOAJ |
| description | INTRODUCTION: Postoperative mediastinitis is a serious condition that presents high mortality rates. The greater omentum flap has been used with good results in postoperative mediastinitis after cardiac surgery. The use of this approach has not been reported in infants probably because at this age, the greater omentum is membranous, not bulky, and has little amount of fatty tissue.
METHOD: Between July 2010 and August 2014, four infants who presented with mediastinitis after a cardiac surgery via sternotomy were treated. The surgical treatment consisted of steel wire removal, debridement, and wound washing, followed by transposition of the entire greater omentum to the mediastinal cavity. Surgical treatment was performed in a single step. No rewiring of the sternum was performed.
RESULTS: All four patients survived the treatment and were discharged from the intensive care unit without infection.
CONCLUSIONS: Although membranous and not bulky, the use of a greater omentum flap proved to be an excellent approach in infant postoperative mediastinitis. |
| first_indexed | 2024-03-09T06:47:25Z |
| format | Article |
| id | doaj.art-968a36eb6cae4c469f3da07dde9d0d23 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T06:47:25Z |
| publishDate | 2016-09-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-968a36eb6cae4c469f3da07dde9d0d232023-12-03T10:33:27ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352016-09-01310339139710.5935/2177-1235.2016RBCP0064Greater omentum flap in the treatment of infant postoperative mediastinitisNárlei Amarante Pereira0Aloísio Ferreira da Silva Filho1José Carlos Ribeiro Resende Alves2Erick Horta Portugal3Marconi de Oliveira Ruas4Rebeca Paohwa Liu da Fonseca5Cláudio Azevedo Salles6Augusto César de Melo Almeida7Raíssa Lemos Ferreira da Silva8Sociedade Brasileira de Cirurgia Plástica, Belo Horizonte, MG, BrazilSociedade Brasileira de Cirurgia Plástica, Belo Horizonte, MG, BrazilSociedade Brasileira de Cirurgia Plástica, Belo Horizonte, MG, BrazilSociedade Brasileira de Cirurgia Plástica, Belo Horizonte, MG, BrazilSociedade Brasileira de Cirurgia Plástica, Belo Horizonte, MG, BrazilSociedade Brasileira de Cirurgia Plástica, Belo Horizonte, MG, BrazilHospital Felício Rocho, Belo Horizonte, MG, BrazilSociedade Brasileira de Cirurgia Plástica, Belo Horizonte, MG, BrazilUniversidade Federal de Minas Gerais, Belo Horizonte, MG, BrazilINTRODUCTION: Postoperative mediastinitis is a serious condition that presents high mortality rates. The greater omentum flap has been used with good results in postoperative mediastinitis after cardiac surgery. The use of this approach has not been reported in infants probably because at this age, the greater omentum is membranous, not bulky, and has little amount of fatty tissue. METHOD: Between July 2010 and August 2014, four infants who presented with mediastinitis after a cardiac surgery via sternotomy were treated. The surgical treatment consisted of steel wire removal, debridement, and wound washing, followed by transposition of the entire greater omentum to the mediastinal cavity. Surgical treatment was performed in a single step. No rewiring of the sternum was performed. RESULTS: All four patients survived the treatment and were discharged from the intensive care unit without infection. CONCLUSIONS: Although membranous and not bulky, the use of a greater omentum flap proved to be an excellent approach in infant postoperative mediastinitis.http://www.rbcp.org.br/export-pdf/1769/en_v31n3a16.pdfmediastinitissternotomyomentumcardiovascular surgical proceduresinfant |
| spellingShingle | Nárlei Amarante Pereira Aloísio Ferreira da Silva Filho José Carlos Ribeiro Resende Alves Erick Horta Portugal Marconi de Oliveira Ruas Rebeca Paohwa Liu da Fonseca Cláudio Azevedo Salles Augusto César de Melo Almeida Raíssa Lemos Ferreira da Silva Greater omentum flap in the treatment of infant postoperative mediastinitis Revista Brasileira de Cirurgia Plástica mediastinitis sternotomy omentum cardiovascular surgical procedures infant |
| title | Greater omentum flap in the treatment of infant postoperative mediastinitis |
| title_full | Greater omentum flap in the treatment of infant postoperative mediastinitis |
| title_fullStr | Greater omentum flap in the treatment of infant postoperative mediastinitis |
| title_full_unstemmed | Greater omentum flap in the treatment of infant postoperative mediastinitis |
| title_short | Greater omentum flap in the treatment of infant postoperative mediastinitis |
| title_sort | greater omentum flap in the treatment of infant postoperative mediastinitis |
| topic | mediastinitis sternotomy omentum cardiovascular surgical procedures infant |
| url | http://www.rbcp.org.br/export-pdf/1769/en_v31n3a16.pdf |
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