Vacuum Assisted Closure in the Management of Exposed Hardware for #SkeletalFixation: A Challenging Case by Alessio Baccarani in BJSTR

Abstract

#Pectusexcavatum is a depression of the #sternum and of #costalcartilages, with reduction in the anteroposterior diameter of the thorax. It is the most common chest wall deformity requiring surgical correction. As described into the literature by many authors [1], metal supports for internal fixation to stabilize the sternum in the new corrected position are commonly used with an open approach. This #sternochondroplasty procedure is performed under general anesthesia. The patient is placed in supine position with arms along the body. The skin incision is clamshell-like. Topographical landmarks for incision are the nipple in men and the #inframammaryfold in women. The #ostheocartilaginousplane is exposed through the bilateral division of the sternal and rib insertions of the pectoralis major and the rectus #abdominismuscles. The entire soft tissue plane (#subcutaneous, skin and muscles) is mobilized and elevated en-block to avoid fluid collection and #seroma formation in the early postoperative period.

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Vacuum Assisted Closure in the Management of Exposed Hardware for #SkeletalFixation: A Challenging Case by Alessio Baccarani in BJSTR