Reconstruction of large post-sternotomy wound with bilateral "V-Y fasciocutaneous advancement flaps".

Abstract

Post-sternotomy wounds are highly dangerous complications after a median sternotomy. Many different methods have been described for reconstruction of post-sternotomy wounds. The treatment is multifactorial. The treatment depends on the severity of the wound and various patient factors. We evaluate a novel method for closure of sternal dehiscence of a patient who has multiple comorbid problems, including diabetes mellitus, hypertension, and chronic obstructive pulmonary disease. In our method, after debridement, the "bilateral V-Y fasciocutaneous advancement flaps" were used for reconstruction. This method presents a successful resolution of an infected median sternotomy wound. It is a simple, rapid, and effective procedure associated with low mortality, morbidity, and short hospital stay.