PURPOSE: @entity2737 (DSWI) is a severe complication of cardiac surgery. The introduction of omental and @entity121 has resulted in a significant decrease in morbidity and mortality. In this article, we present the findings for a series of 55 consecutive @entity1 with DSWI treated using an alternative bi-pectoral musculofascial flap technique. METHODS: The @entity1 were stratified into two groups (one-or two-stage intervention). @entity1 with septic wounds initially underwent debridement and wound treatment, while vacuum therapy was used in a subset of the subjects. All @entity1 were treated with wound debridement and bi-pectoral advancement flap reconstruction. RESULTS: 30-day mortality was 5.4  %. Most @entity1 (72  %) were treated in two stages, while vacuum therapy was used in 20  % of the @entity1 . The mean number of hospitalization days was 8 and 12 for the one- and the two-stage groups, respectively. Reconstruction was successful in all but three @entity1 , each of whom developed recurrent @entity281 . No major morbidity was reported at a mean follow-up of 82  months with excellent functional and aesthetic outcomes. CONCLUSIONS: Pectoralis-major @entity121 remain relevant in the modern management of post-sternotomy @entity1764 . The addition of an omental flap should be considered in cases in which the lower sternum is involved. Prompt diagnosis and a meticulous surgical technique ensure favorable results for the majority of @entity1 .

Results of the modified bi-pectoral muscle flap procedure for post-sternotomy deep wound XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1764 :: ('MESH:D008480', 'Disease') :: ['mediastinitis'] @entity2737 :: ('MESH:D014946', 'Disease') :: ['Post-sternotomy deep sternal wound infection'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity121 :: ('MESH:D009135', 'Disease') :: ['muscle flaps']
@entity281 :: (MESH:D007239,Disease) :: ['infection']
