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개흉술 후 발생한 종격동염의 대흉근-복직근 양경근피판을 이용한 치료

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dc.contributor.author이원재-
dc.contributor.author탁관철-
dc.date.accessioned2017-10-26T06:38:31Z-
dc.date.available2017-10-26T06:38:31Z-
dc.date.issued2005-
dc.identifier.issn1015-6402-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/151115-
dc.description.abstractAlthough the incidence of mediastinal wound infection in patient undergoing median sternotomy for cardiovascular surgery is relatively low(less than 1%), it is not only a devastating and potentially life-threatening complication but also associated morbidity, mortality and cost are unacceptably high. During the past few decades various methods had been applied for the treatment of postoperative mediastinitis. Currently, chest wall reconstruction by using muscle flaps-especially pectoralis major muscle and rectus abdominis muscle are commonly selected for the reconstruction after wide debridement has become widely accepted. We performed bilateral pectoralis major-rectus abdominis muscles in-continuity bipedicle flap to overcome the limit of each flap for reconstruction of sternal defects in 17 patients. We analyzed the results of the surgery. Recurrent infection developed in 17.6% of cases and abdominal herniation was observed in one patient. There was no postoperative hematoma or death. We conclude that this flap is very valuable in reconstruction of the anterior chest wall defect caused by post-sternotomy infection because it provides sufficient volume to fill the entire mediastinum, and the complication rate compares favorably to that of other methods.-
dc.description.statementOfResponsibilityprohibition-
dc.languageKorean-
dc.publisher대한성형외과학회-
dc.relation.isPartOfJournal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHMediastinal infection-
dc.subject.MESHBipedicle muscle flap-
dc.title개흉술 후 발생한 종격동염의 대흉근-복직근 양경근피판을 이용한 치료-
dc.title.alternativePectoralis Major-Rectus Abdominis Bipedicle Muscle Flap in Treatment of Postoperative Mediastinitis-
dc.typeArticle-
dc.publisher.locationKorea-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Plastic and Reconstructive Surgery (성형외과학교실)-
dc.contributor.departmentDept. of Plastic and Reconstructive Surgery (성형외과학교실)-
dc.contributor.googleauthor김범진-
dc.contributor.googleauthor이원재-
dc.contributor.googleauthor탁관철-
dc.identifier.doiOAK-2005-04724-
dc.contributor.localIdA03005-
dc.contributor.localIdA04236-
dc.relation.journalcodeJ01887-
dc.relation.journalsince1980~2011-
dc.relation.journalafter2012~ Archives of Plastic Surgery-
dc.subject.keywordMediastinal infection-
dc.subject.keywordBipedicle muscle flap-
dc.contributor.alternativeNameLee, Won Jai-
dc.contributor.alternativeNameTark, Kwan Chul-
dc.citation.volume32-
dc.citation.number4-
dc.citation.startPage421-
dc.citation.endPage427-
dc.identifier.bibliographicCitationJournal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지), Vol.32(4) : 421-427, 2005-
dc.date.modified2017-05-04-
dc.identifier.rimsid43457-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers

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