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Sternotomy Reconstruction With Omentum Followed by Large Diaphragmatic Hernia

Department of Cardiothoracic Surgery, Department of Radiology, Royal Perth Hospital, Perth, Western Australia

For reprint information contact: Marian Vrtik, MBBS Tel: 61 8 9224 2195 Fax: 61 8 9224 1977 Email: maros96{at}hotmail.com, Department of Cardiothoracic Surgery, Royal Perth Hospital, Wellington Street Campus, Box X2213 GPO, Perth 6847, Western Australia.

Poststernotomy mediastinitis carries significant morbidity and mortality. Aggressive wound debridement combined with a pedicled omental flap, with or without a pedicled muscle flap, has gained acceptance in the management of difficult sternal wound infections. Two cases of poststernotomy mediastinitis and sternal wound reconstruction with a pedicled omental flap were complicated by a large anterior diaphragmatic hernia containing the large bowel.