Pectoralis major turnover versus advancement technique for sternal wound reconstruction

Hamid R. Zahiri, Kimberly Lumpkins, Shahrooz Kelishadi, Jeffrey A. Stromberg, Ronald P. Silverman, Sheri Slezak, Nelson H. Goldberg, Luther Holton, Devinder P. Singh

Research output: Contribution to journalReview article

Abstract

BACKGROUND: We compared the efficacy of pectoralis turnover versus advancement technique for sternal wound reconstruction. METHODS: A retrospective chart review was performed, December 1989 to December 2010, to compare postoperative complication rates between pectoralis major turnover versus pectoralis major advancement reconstruction techniques. Complications included hematomas, wound infections, tissue necrosis, dehiscence, and need for reoperation. Pearson χ2 and logistic regression were used and significance was P < 0.05. RESULTS: Sixty-seven patients received 91 tissue flaps. Eleven patients (16%) required reoperation due to complications, including recurrent wound infection, tissue necrosis, wound dehiscence, mediastinitis, and hematoma formation. Four patients (6%) were treated conservatively for minor complications. Overall, complication rates were significantly higher after pectoralis major advancement reconstruction (32.5% vs. 3.7%, P = 0.004). CONCLUSIONS: When feasible, pectoralis major turnover flap offers a superior reconstructive technique for complex sternal wounds, with diminished complications compared with the pectoralis advancement flap.

Original languageEnglish (US)
Pages (from-to)211-215
Number of pages5
JournalAnnals of plastic surgery
Volume70
Issue number2
DOIs
StatePublished - Feb 1 2013

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Keywords

  • Pectoralis major advancement
  • Pectoralis major turnover
  • Sternal reconstruction
  • Tissue flaps

ASJC Scopus subject areas

  • Surgery

Cite this

Zahiri, H. R., Lumpkins, K., Kelishadi, S., Stromberg, J. A., Silverman, R. P., Slezak, S., Goldberg, N. H., Holton, L., & Singh, D. P. (2013). Pectoralis major turnover versus advancement technique for sternal wound reconstruction. Annals of plastic surgery, 70(2), 211-215. https://doi.org/10.1097/SAP.0b013e3182367dc5