{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T10:31:04Z","timestamp":1781001064400,"version":"3.54.1"},"reference-count":63,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,11,21]],"date-time":"2019-11-21T00:00:00Z","timestamp":1574294400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,11,21]],"date-time":"2019-11-21T00:00:00Z","timestamp":1574294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008678","name":"Universit\u00e4t Leipzig","doi-asserted-by":"publisher","award":["IN-1260910"],"award-info":[{"award-number":["IN-1260910"]}],"id":[{"id":"10.13039\/501100008678","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>At present, data describing patients\u2019 long-term outcomes, quality of life, and survival after deep sternal wound infection are rarely available.<\/jats:p>\n                <jats:p>The purpose of our study was to evaluate functional outcome and patient well-being after debridement and reconstruction of the sternal defect using a pedicled latissimus dorsi flap following deep sternal wound infection (DSWI).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This retrospective analysis reviewed 106 cases of DSWI after open-heart surgery treated between May 1, 2012, and May 31, 2015. The parameters of interest were demographic and medical data, including comorbidity and mortality. Follow-up consisted of physical examination of the patients using a specific shoulder assessment, including strength tests and measurements of pulmonary function.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The population consisted of 69 (65%) male and 37 (35%) female patients. Their average age at the time of plastic surgery was 69\u2009years (range: 35\u201385). The 30-day mortality was 20% (<jats:italic>n<\/jats:italic>\u2009=\u200921); after one-year, mortality was 47% (<jats:italic>n<\/jats:italic>\u2009=\u200950), and at follow-up, it was 54% (<jats:italic>n<\/jats:italic>\u2009=\u200958).<\/jats:p>\n                <jats:p>Heart surgery was elective in 45 cases (42%), urgent in 31 cases (29%) and for emergency reasons in 30 cases (28%). The preoperative European System for Cardiac Operative Risk Evaluation (EuroSCORE) averaged 16.3 (range: 0.88\u201376.76).<\/jats:p>\n                <jats:p>On the dynamometer assessment, a value of 181 Newton (N) (\u00b197) could be achieved on the donor side, in contrast to 205\u2009N (\u00b191) on the contralateral side.<\/jats:p>\n                <jats:p>The inspiratory vital capacity of the lung was reduced to an average of 70.58% (range: 26\u2013118), and the forced expiratory volume in 1\u2009s was decreased to an average of 69.85% (range: 38.2\u2013118).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Given that only small adverse effects in shoulder function, strength, and pulmonary function were observed, the latissimus dorsi flap appears to be a safe and reliable option for the reconstruction of the sternal region after DSWI.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12893-019-0631-4","type":"journal-article","created":{"date-parts":[[2019,11,21]],"date-time":"2019-11-21T10:03:56Z","timestamp":1574330636000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Deep sternal wound infection \u2013 latissimus dorsi flap is a reliable option for reconstruction of the thoracic wall"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6776-8602","authenticated-orcid":false,"given":"Nick","family":"Spindler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Kade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Spiegl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Misfeld","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Josten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedrich-Wilhelm","family":"Mohr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Borger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Langer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,11,21]]},"reference":[{"issue":"3839","key":"631_CR1","doi-asserted-by":"publisher","first-page":"872","DOI":"10.1016\/S0140-6736(01)96474-8","volume":"149","author":"H. 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