Acta Scientific Clinical Case Reports (ASCR)

Case Report Volume 1 Issue 2

Handmade Vacuum System in the Management of Serious Complications of Sternal Reconstruction: A Case Report

Franzel Delgado1*, Victor Rodriguez2, Andreina Berrios2, Aquiles Siverio3 and Daniel Camacho4

1Thorax Surgeon, Pneumonology and Thorax Surgery Department of University Military Hospital “Dr. Carlos Arvelo”, Caracas, Venezuela
2Senior Resident, Thorax Surgery, Pneumonology and Thorax Surgery Department of University Military Hospital “Dr. Carlos Arvelo”, Caracas, Venezuela
3Plastic and reconstructive surgeon, University Military Hospital “Dr. Carlos Arvelo”, Caracas, Venezuela
4Senior Resident, Plastic and Reconstructive Surgery, University Military Hospital “Dr. Carlos Arvelo”, Caracas, Venezuela

*Corresponding Author: Franzel Delgado, Thorax Surgeon, Pneumonology and Thorax Surgery Department of University Military Hospital “Dr. Carlos Arvelo”, Caracas, Venezuela.

Received: February 02, 2020; Published: February 10, 2020

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Abstract

  Sternum chondrosarcomas are infrequent lesions, the indication is surgical resection, but when very wide resections are performed it compromises adequate chest mobility and its reconstruction becomes more complicated, morbidity and mortality is related to the patient's previous state, the stage of the disease and the extent of thoracic resections [1]. The VAC system (Vacuum assisted closure) is already known to help create an environment suitable for the improvement of post-surgical mediastinitis by creating a vacuum state that stimulates the increase of local blood flow and the formation of granulation tissue [2].

  Next, we refer to a case of sternal resection and reconstruction due to chondrosarcoma, complicated by infection and flap necrosis, as well as management with the artisanal VAC system.

Keywords: Vacuum System; Sternal Resection; Chondrosarcoma; Reconstruction of Chest Wall; Sternal Tumor

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References

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  2. Tarzia Vincenzo., et al. “Impact of vacuum-assisted closure therapy on outcomes of sternal wound dehiscence†”. Interactive Cardiovascular and Thoracic Surgery 19.1 (2014): 70-75. 
  3. Gao Erji., et al. “Reconstruction of anterior chest wall: a clinical analysis”. Journal of Cardiothoracic Surgery 13.1 (2018): 124-127.
  4. Leuzzi Giovanni., et al. “Chest wall tumors and prosthetic reconstruction: A comparative analysis on functional outcome”. Thoracic Cancer 6.3 (2015): 247-254.
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  9. Wackenfors Angelica., et al. “Blood flow responses in the peristernal thoracic wall during vacuum-assisted closure therapy”. The Annals of Thoracic Surgery 79.5 (2005): 1724-1730; discussion 1730-1731.
  10. Domkowski Patrick W., et al. “Evaluation of vacuum-assisted closure in the treatment of poststernotomy mediastinitis”. The Journal of Thoracic and Cardiovascular Surgery 126.2 (2003): 386-390.
  11. Vos Roemer J., et al. “Vacuum-assisted closure of post-sternotomy mediastinitis as compared to open packing”. Interactive Cardiovascular and Thoracic Surgery 14.1 (2012): 17-21.
  12. Scarnecchia Elisa., et al. “Multidisciplinary approach to chest wall resection and reconstruction for chest wall tumors, a single center experience”. Journal of Thoracic Disease 9.12 (2017): 5093-5100.
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Citation

Citation: Franzel Delgado.,et al. “Handmade Vacuum System in the Management of Serious Complications of Sternal Reconstruction: A Case Report”. Acta Scientific Clinical Case Reports 1.2 (2020): 09-11.




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