Abstract
Vacuum-Assisted Closure (VAC) in association to flap reconstruction is a well-established approach for treating complicated wounds. The authors present a case of soft-tissue breakdown with hardware exposure in a patient treated with modified Ravitch procedure for pectus excavatum. VAC therapy was applied in association to multiple debridement procedures and final flap closure. This was achieved without the need for hardware removal, thus maintaining adequate skeletal fixation. To our knowledge this approach has not yet been described into the literature after sternochondroplasty procedure. Aggressive debridement and VAC therapy before final closure may represent a new, conservative method for managing surgical complications after sternochondroplasty procedures.
Highlights
Salvage Procedure after Sternochondroplasty for Pectus ExcavatumAramini B1*, Morandi U1, Santis GD2 and Baccarani A2 1Division of Thoracic Surgery, Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, Modena, Italy 2Division of Plastic Surgery, Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, Modena, Italy
Pectus excavatum is a depression of the sternum and of costal cartilages, with reduction in the anteroposterior diameter of the thorax
Multiple debridement procedures in association to Vacuum-Assisted Closure (VAC) were advised after a multidisciplinary counsel involving infectivologists and a detailed analysis of the wound (Figure 2a)
Summary
Aramini B1*, Morandi U1, Santis GD2 and Baccarani A2 1Division of Thoracic Surgery, Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, Modena, Italy 2Division of Plastic Surgery, Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, Modena, Italy
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