Case Reports
Utility of Omentoplasty for Poststernotomy Mediastinitis Secondary to Myocardial Revascularization Surgery
Jorge Quiroga Martíneza,
, Javier Gualis Cardonab, Begoña Gregorio Crespoa, Sara Cabanyes Candelaa, Ángel Cilleruelo Ramosa, José Luis Duque Medinaa
Corresponding author
quirojo@hotmail.com
Correspondence: Dr J Quiroga Martínez Servicio de Cirugía Torácica, Hospital Clínico Universitario Ramón y Cajal3;47005 Valladolid, Spain
Correspondence: Dr J Quiroga Martínez Servicio de Cirugía Torácica, Hospital Clínico Universitario Ramón y Cajal3;47005 Valladolid, Spain
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Conservative treatment with local debridement, irrigatingsuction systems, and specific antibiotic therapy is sometimes inadequate.</p><p class="elsevierStyleSimplePara elsevierViewall">Omentoplasty is occasionally used for reconstruction and the treatment of various chest diseases. This useful procedure is most often indicated for suppurative processes and radionecrosis, to complement myoplasty, or to cover a chest wall prosthesis. When used to treat poststernotomy mediastinitis secondary to cardiac surgery, omentoplasty improves control of infection and prognosis.</p><p class="elsevierStyleSimplePara elsevierViewall">We describe 2 cases of poststernotomy mediastinitis secondary to cardiac revascularization surgery in which omentoplasty was an effective treatment. Excellent control of infection was achieved.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Utilidad de la omentoplastia en el tratamiento de la esternomediastinitis secundaria a cirugía de revascularización miocárdica</p><p class="elsevierStyleSimplePara elsevierViewall">La esternomediastinitis aguda es una complicación grave que puede aparecer tras intervenciones de cirugía cardíaca y que presenta una elevada mortalidad. El tratamiento conservador mediante curas locales, sistemas de drenaje-lavado y uso de antibióticos específicos es a veces insuficiente.</p><p class="elsevierStyleSimplePara elsevierViewall">La omentoplastia, ocasionalmente utilizada en la reconstrucción y tratamiento de diferentes enfermedades torácicas, es un procedimiento útil, que tiene su mayor indicación en procesos supurativos, radionecrosis, complemento a mioplastias y protección de prótesis de pared torácica. Su utilización en el tratamiento de la esternomediastinitis secundaria a cirugía cardíaca ayuda al control de la infección y mejora la evolución de los pacientes.</p><p class="elsevierStyleSimplePara elsevierViewall">Presentamos 2 casos de esternomediastinitis secundaria a cirugía de revascularización miocárdica en los que la omentoplastia ha sido un tratamiento efectivo, consiguiendo excelentes resultados en el control de la infección.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Aggressive primary treatment for poststernotomy acute mediastinitis: our experience with omental-and muscle flaps surgery" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P Schroeyers" 1 => "F Wellens" 2 => "I Degrieck" 3 => "R De Geest" 4 => "F Van Praet" 5 => "Y Vermuelen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "2001" "volumen" => "20" "paginaInicial" => "743" "paginaFinal" => "746" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11574218" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vascular endothelial growth factor is the major angiogenic factor in omentum: mechanism of the omentum-mediated angiogenesis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "QX Zhang" 1 => "CJ Magovern" 2 => "CA Mack" 3 => "KT Budenbender" 4 => "W Ko" 5 => "TK Rosengart" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1006/jsre.1996.4983" "Revista" => array:6 [ "tituloSerie" => "J Surg Res" "fecha" => "1997" "volumen" => "67" "paginaInicial" => "147" "paginaFinal" => "154" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9073561" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Utility of the omentum in the reconstruction of complex extraperitoneal wounds and defects: donor-site complications in 135 patients from 1975 to 2000" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "CS Hultman" 1 => "GW Carlson" 2 => "A Losken" 3 => "G Jones" 4 => "J Culbertson" 5 => "G Mackay" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "2002" "volumen" => "235" "paginaInicial" => "782" "paginaFinal" => "795" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12035034" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical treatment of cardiac ischaemia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L O'Shaughnessy" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Lancet" "fecha" => "1937" "volumen" => "1" "paginaInicial" => "185" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2563098" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The use of free omental grafts in the thorax: an experimental study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "SA Thompson" 1 => "B Pollock" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Am J Surg" "fecha" => "1945" "volumen" => "70" "paginaInicial" => "227" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The possibilities of greater omentum usage in thoracic surgery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "YN Levashev" 1 => "AL Akopov" 2 => "IV Mosin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "1999" "volumen" => "15" "paginaInicial" => "465" "paginaFinal" => "468" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10371123" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of the infected median sternotomy wound with muscle flaps. 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| 2023 January | 17 | 29 | 46 |
| 2022 December | 22 | 33 | 55 |
| 2022 November | 20 | 34 | 54 |
| 2022 October | 16 | 29 | 45 |
| 2022 September | 27 | 31 | 58 |
| 2022 August | 19 | 34 | 53 |
| 2022 July | 18 | 37 | 55 |
| 2022 June | 18 | 34 | 52 |
| 2022 May | 23 | 25 | 48 |
| 2022 April | 13 | 19 | 32 |
| 2022 March | 20 | 25 | 45 |
| 2022 February | 17 | 45 | 62 |
| 2022 January | 15 | 31 | 46 |
| 2021 December | 18 | 49 | 67 |
| 2021 November | 11 | 55 | 66 |
| 2021 October | 21 | 49 | 70 |
| 2021 September | 27 | 57 | 84 |
| 2021 August | 9 | 30 | 39 |
| 2021 July | 12 | 23 | 35 |
| 2021 June | 14 | 29 | 43 |
| 2021 May | 16 | 30 | 46 |
| 2021 April | 22 | 55 | 77 |
| 2021 March | 20 | 19 | 39 |
| 2021 February | 15 | 15 | 30 |
| 2021 January | 10 | 17 | 27 |
| 2020 December | 12 | 16 | 28 |
| 2020 November | 10 | 10 | 20 |
| 2020 October | 13 | 5 | 18 |
| 2020 September | 50 | 10 | 60 |
| 2020 August | 53 | 8 | 61 |
| 2020 July | 52 | 11 | 63 |
| 2020 June | 11 | 4 | 15 |
| 2020 May | 29 | 18 | 47 |
| 2020 April | 41 | 16 | 57 |
| 2020 March | 37 | 11 | 48 |
| 2020 February | 56 | 15 | 71 |
| 2020 January | 59 | 18 | 77 |
| 2019 December | 31 | 22 | 53 |
| 2019 November | 16 | 15 | 31 |
| 2019 October | 8 | 22 | 30 |
| 2019 September | 10 | 16 | 26 |
| 2019 August | 11 | 11 | 22 |
| 2019 July | 7 | 23 | 30 |
| 2019 June | 5 | 16 | 21 |
| 2019 May | 8 | 14 | 22 |
| 2019 April | 13 | 48 | 61 |
| 2019 March | 12 | 26 | 38 |
| 2019 February | 12 | 20 | 32 |
| 2019 January | 10 | 25 | 35 |
| 2018 December | 11 | 14 | 25 |
| 2018 November | 16 | 11 | 27 |
| 2018 October | 27 | 23 | 50 |
| 2018 September | 19 | 3 | 22 |
| 2018 May | 5 | 0 | 5 |
| 2018 April | 6 | 3 | 9 |
| 2018 March | 11 | 3 | 14 |
| 2018 February | 7 | 8 | 15 |
| 2018 January | 4 | 4 | 8 |
| 2017 December | 6 | 7 | 13 |
| 2017 November | 4 | 5 | 9 |
| 2017 October | 5 | 4 | 9 |
| 2017 September | 4 | 11 | 15 |
| 2017 August | 12 | 16 | 28 |
| 2017 July | 15 | 9 | 24 |
| 2017 June | 9 | 12 | 21 |
| 2017 May | 5 | 5 | 10 |
| 2017 April | 4 | 6 | 10 |
| 2017 March | 3 | 6 | 9 |
| 2017 February | 3 | 9 | 12 |
| 2017 January | 2 | 5 | 7 |
| 2016 December | 4 | 7 | 11 |
| 2016 November | 4 | 6 | 10 |
| 2016 October | 12 | 17 | 29 |
| 2016 September | 11 | 12 | 23 |
| 2016 August | 6 | 6 | 12 |
| 2016 July | 9 | 7 | 16 |
| 2016 March | 3 | 0 | 3 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 81 | 6 | 87 |
| 2015 September | 58 | 5 | 63 |
| 2015 August | 76 | 5 | 81 |
| 2015 July | 125 | 17 | 142 |
| 2015 June | 89 | 5 | 94 |
| 2015 May | 86 | 4 | 90 |
| 2015 April | 53 | 6 | 59 |
| 2015 March | 92 | 4 | 96 |
| 2015 February | 102 | 8 | 110 |
| 2015 January | 66 | 6 | 72 |
| 2014 December | 94 | 4 | 98 |
| 2014 November | 93 | 3 | 96 |
| 2014 October | 96 | 9 | 105 |
| 2014 September | 108 | 5 | 113 |
| 2014 August | 76 | 11 | 87 |
| 2014 July | 62 | 9 | 71 |
| 2014 June | 77 | 8 | 85 |
| 2014 May | 73 | 13 | 86 |
| 2014 April | 76 | 8 | 84 |
| 2014 March | 80 | 10 | 90 |
| 2014 February | 75 | 11 | 86 |
| 2014 January | 57 | 9 | 66 |
| 2013 December | 70 | 10 | 80 |
| 2013 November | 56 | 9 | 65 |
| 2013 October | 78 | 7 | 85 |
| 2013 September | 77 | 30 | 107 |
| 2013 August | 70 | 8 | 78 |
| 2013 July | 56 | 8 | 64 |
| 2013 June | 58 | 9 | 67 |
| 2013 May | 58 | 5 | 63 |
| 2013 April | 24 | 4 | 28 |
| 2013 March | 9 | 1 | 10 |
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