A rational approach to wound difficulties after sternotomy: reconstruction and long-term results.

@article{Francel2001ARA,
  title={A rational approach to wound difficulties after sternotomy: reconstruction and long-term results.},
  author={Thomas J Francel and Nicholas T. Kouchoukos},
  journal={The Annals of thoracic surgery},
  year={2001},
  volume={72 4},
  pages={1419-29}
}
One hundred fifty-one patients were reconstructed after median stemotomy by a single plastic surgeon over a 6-year period. The treatment included immediate reconstruction (63 patients) and delayed reconstructions (88 patients). Ninety eight percent of the patients had definitive healing at 6 weeks with an overall 30-day mortality of 4 percent. The issues of long-term intravenous antibiotics, perceived skin deficiency, cardiac decompensation, Candida infections, and reexploration of a healed… CONTINUE READING