Surgery: Current Research

Surgery: Current Research
Open Access

ISSN: 2161-1076

447480721009

Emeka B Kesieme

Emeka B Kesieme

Nigeria

Publications
  • Review Article
    The Conundrums of Defect Management in Deep Sternal Wound Infection: Review
    Author(s): Kelechi Emmanuel Okonta and Emeka B KesiemeKelechi Emmanuel Okonta and Emeka B Kesieme

    Deep Sternal Wound Infection (DWSI) remains an important cause of morbidity and mortality following Cardiac surgery. Equally many methods of preventing it from occurring have been stated however when it does occur, the management by debridement and provision of cover for the defect can be challenging and thus different treatment options are instituted with various degrees of success. The use of Vacuum Assisted Closure therapy was stated as been mere effective in treatment of DSWI with mechanism not known but better used as an adjunct to flaps and with a potential for profuse bleeding. The major advantage in the use of Pectoralis Major Flap was in its bulky size that allows for the cover of defect following sternectomy. However, it had a serious draw back in neonates and infants as the compressive effect on the heart and the distortion of the mammary line and its preclusion in patients.. Read More»
    DOI: 10.4172/2161-1076.1000130

    Abstract PDF

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