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Pectoralis major muscle turnover flap reconstruction for treatment of deep sternal wound infection in infants and children
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  • Gang Wang,
  • Yongshun Gao,
  • Gengxu Zhou,
  • Zhichun Feng
Gang Wang
Southern Medical University

Corresponding Author:[email protected]

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Yongshun Gao
Bayi Children's Hospital
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Gengxu Zhou
Southern Medical University
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Zhichun Feng
Southern Medical University
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Abstract

Objective: The aim of the study is to assess the therapeutic effect and applicability of pectoralis major muscle turnover flap reconstruction for treatment of deep sternal wound infection after cardiac surgery in infants and children. Methods: From march 2013 to october 2021, 23 patients with deep sternal wound infection after cardiac surgery underwent pectoralis major muscle turnover flap reconstruction.The data and outcomes of the patients were retrospectively analyzed. Results: 20 patients were treated with unilateral pectoralis major muscle turnover flap reconstruction,3 patients were treated by bilateral pectoralis major muscle turnover flap. All of the sternal wounds healed successfully. All patients survived and were discharged without evidence of infection. In a follow-up period, ranging from 15 to 83 months (mean 32.6 months), all patients demonstrated normal development with no limitations to limb movements. There were no signs of chronic sternal infection in all of them. Conclusion:Pectoralis major muscle turnover flap reconstruction is a simple,feasible and effective treatment of deep sternal wound infection after cardiac surgery in infants and children,with minimal developmental problems.
08 Mar 2022Submitted to Journal of Cardiac Surgery
10 Mar 2022Submission Checks Completed
10 Mar 2022Assigned to Editor
10 Mar 2022Reviewer(s) Assigned
17 Mar 2022Review(s) Completed, Editorial Evaluation Pending
17 Mar 2022Editorial Decision: Revise Major
25 Mar 20221st Revision Received
25 Mar 2022Submission Checks Completed
25 Mar 2022Assigned to Editor
25 Mar 2022Reviewer(s) Assigned
26 Mar 2022Review(s) Completed, Editorial Evaluation Pending
26 Mar 2022Editorial Decision: Accept
Aug 2022Published in Journal of Cardiac Surgery volume 37 issue 8 on pages 2309-2314. 10.1111/jocs.16567