David H. Song

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OBJECTIVE Sternal wound infection leading to post-operative mediastinitis is a devastating complication of cardiac surgery carrying nearly a 15% mortality rate despite current treatment methods. Instability of bone fragments pre-disposes a patient to have non-union, mal-union and can subsequently lead to deep sternal wound infections progressing to(More)
Sternotomy is the most common osteotomy performed worldwide and has traditionally been closed by wire circlage. Recent studies have demonstrated the superiority of internal plate fixation both in promoting bony stability and osteosynthesis and in decreasing the incidence of postoperative mediastinitis. Despite its advantages, this method of sternal closure(More)
Sternal nonunion as the result of cardiac intervention or trauma remains a morbid condition with serious sequelae. Patients often report pain with breathing, coughing, and/or movement. The authors present 6 patients that were diagnosed with sterile sternal nonunion after cardiac procedure (4) or trauma (2). The cardiac patients presented 5, 7, 15, and 60(More)
A method to refine the treatment of sternal wounds using Vacuum Assisted Closure (V.A.C.) therapy as the bridge between débridement and delayed definitive closure is described. A retrospective review of 35 consecutive patients with sternal wound complications over a 2-year period (March of 1999 to March of 2001) was performed. The treatment of sternal(More)
BACKGROUND Vacuum-assisted closure therapy has gained widespread use since its introduction in 1997. Previous studies have attributed significant benefit to its use for treatment of sternal wounds with or without mediastinitis. Management of sternal wounds with this therapy has been shown to decrease the number of dressing changes, reduce the time between(More)
In addition to symmastia, there were other potential issues raised by Fosnot and Serletti. The pedicle of the contralateral augmentation flap runs in a subcutaneous tunnel through the midline, and they were concerned about the possibility of a palpable pedicle and the risk of compression. In our series, the pedicle is neither seen nor palpable, even in(More)
BACKGROUND Significant improvements can be made in recoding surgical procedures, particularly in capturing high-quality video recordings from the surgeons' point of view. This study examined the utility of the GoPro HERO 3+ Black Edition camera for high-definition, point-of-view recordings of plastic and reconstructive surgery. METHODS The GoPro HERO 3+(More)
PURPOSE The management of unresectable locally advanced breast cancer (ULABC) remains a major challenge because of the necessity both to treat local disease and to prevent distant disease. Two consecutive Phase I/II trials of concomitant chemotherapy and radiation (CRT) were performed to attempt to address both local and distant disease control in ULABC.(More)
BACKGROUND Older breast cancer patients undergo postmastectomy breast reconstruction infrequently, in part because of a perception of increased surgical risk. This study sought to investigate the effects of age on perioperative complications after postmastectomy breast reconstruction. METHODS The American College of Surgeons National Surgery Quality(More)
BACKGROUND Extralevator abdominoperineal excision for distal rectal cancers involves cylindrical excision of the mesorectum with wide division of the levator ani muscles. Although this technique has been shown to decrease local cancer recurrence and improve survival, it leaves the patient with a considerable pelvic floor defect that may require(More)