TITLE

Laparoscopic Greater Omentum Harvesting with Split-Thickness Skin Grafting for Sternal Wound Dehiscence

AUTHOR(S)
Barragan, Barnard A.; Halldorsson, Ari O.; Wachtel, Mitchell S.; Frezza, Eldo E.
PUB. DATE
September 2006
SOURCE
American Surgeon;Sep2006, Vol. 72 Issue 9, p829
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Sternal wound dehiscence is a serious complication occasionally requiring soft tissue coverage. The greater omentum typically has been used as a last resort because of the underlying morbidity from a laparotomy. We present a case in which a laparoscopically created omental flap with subsequent split-thickness skin grafting was used to correct a large soft tissue defect that occurred after sternal wound dehiscence developed. A nonambulatory 49-year-old man who underwent coronary artery bypass grafting developed sternal wound dehiscence. Because a large soft tissue defect developed after multiple debridements, soft tissue coverage was required. A laparoscopically harvested omental flap spared this man's upper extremity musculature and provided a soft tissue bed for split-thickness skin grafting. This case helps to establish the role of laparoscopically harvested omentum. If the results suggested by this case are confirmed in a large series, omental flaps should be considered as options of first choice in the management of sternal wound dehiscence.
ACCESSION #
22234712

 

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