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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
|
| pubmed:dateCreated |
1997-8-19
|
| pubmed:abstractText |
The objective of the study was to evaluate the lung function of patients with median sternotomy wound complication during the early postmedian sternotomy period and to compare the long-term pulmonary effects of reconstruction using pectoralis major and rectus abdominis muscle flaps. The percentage of predicted, standardized forced vital capacity (FVC); the standardized forced expiratory volume in 1 second (FEV1), and FEV1/FVC ratios of 45 patients with a median sternotomy wound complication were evaluated before and at a mean time of 10.6 months after wound reconstruction. Both mean FVC and FEV1 increased after wound revision compared with the prereconstruction results (8.4% and 9.2% increase, respectively). Patients with painful chest wall movement had the worst (60%) mean FVC and FEV1 before reconstruction when compared with a nonpainful complication. Reconstruction with a muscle flap was followed by an increase of 8.6% and 7.3% in FEV1 and FVC, respectively, from prereconstruction results. However, long-term results indicate that these patients have a mild, restrictive impairment of their lung function tests (LFTs), with about 80% of the predicted FVC and FEV1. Among the muscle flaps, the best improvement and best long-term LFT results were after sternectomy and reconstruction with a pectoralis major muscle flap as compared with a rectus abdominis muscle flap. Sternectomy and reconstruction with a muscle flap is a well-tolerated procedure associated with improvement of lung function compared with prereconstruction values. A pectoralis major muscle flap should be the first choice for muscle flap reconstruction while a rectus abdominis muscle flap should be reserved only for patients with good LFTs before reconstruction.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jul
|
| pubmed:issn |
0148-7043
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
39
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
36-43
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:9229090-Adult,
pubmed-meshheading:9229090-Aged,
pubmed-meshheading:9229090-Cicatrix,
pubmed-meshheading:9229090-Coronary Artery Bypass,
pubmed-meshheading:9229090-Coronary Disease,
pubmed-meshheading:9229090-Female,
pubmed-meshheading:9229090-Forced Expiratory Volume,
pubmed-meshheading:9229090-Heart Valve Diseases,
pubmed-meshheading:9229090-Heart Valve Prosthesis,
pubmed-meshheading:9229090-Humans,
pubmed-meshheading:9229090-Male,
pubmed-meshheading:9229090-Middle Aged,
pubmed-meshheading:9229090-Osteomyelitis,
pubmed-meshheading:9229090-Postoperative Complications,
pubmed-meshheading:9229090-Reoperation,
pubmed-meshheading:9229090-Respiratory Insufficiency,
pubmed-meshheading:9229090-Spirometry,
pubmed-meshheading:9229090-Sternum,
pubmed-meshheading:9229090-Surgical Flaps,
pubmed-meshheading:9229090-Surgical Wound Infection,
pubmed-meshheading:9229090-Vital Capacity
|
| pubmed:year |
1997
|
| pubmed:articleTitle |
Median sternotomy wound complication: the effect of reconstruction on lung function.
|
| pubmed:affiliation |
Department of Plastic and Reconstructive Surgery, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Israel.
|
| pubmed:publicationType |
Journal Article
|