{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,18]],"date-time":"2026-01-18T09:54:02Z","timestamp":1768730042028,"version":"3.49.0"},"reference-count":14,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Einstein (S\u00e3o Paulo)"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:p>OBJECTIVE: To describe a new surgical technique for the treatment dehiscence after median thoracotomy transsternal using fasciocutaneous flap composed of the pectoralis major fascia. METHODS: Between January 2009 and December 2010, from 1,573 patients submitted to coronary artery bypass graft, 21 developed wound dehiscence after sternotomy and were treated with bilateral pectoralis major muscle fasciocutaneous flap, including partial portion of the rectus abdominis fascia. Patients were followed for a minimum of 90 days postoperatively. RESULTS: All patients had favorable outcome following 90 days, not having any partial or total dehiscence. There were no cases of postoperative infection. CONCLUSION: The procedure was rapid and effective. Compared with techniques using muscle, myocutaneous or greater omentum flaps, this surgery was less aggressive and maintained the integrity of tissue region. The authors considered that this technique should be used as the first option, leaving the flaps to more complex cases of relapse.<\/jats:p>","DOI":"10.1590\/s1679-45082012000400010","type":"journal-article","created":{"date-parts":[[2013,1,26]],"date-time":"2013-01-26T05:31:26Z","timestamp":1359178286000},"page":"449-454","source":"Crossref","is-referenced-by-count":6,"title":["Use of the pectoralis major fasciocutaneous flap in the treatment of post sternotomy dehiscence: a new approach"],"prefix":"10.1590","volume":"10","author":[{"given":"Jaime","family":"Anger","sequence":"first","affiliation":[{"name":"Hospital Israelita Albert Einstein,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Silvio","family":"Farsky","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Flavio Sanches","family":"Almeida","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renato Tambellini","family":"Arnoni","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Chagas","family":"Dantas","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"2","key":"ref1","first-page":"91","article-title":"Risk factors for surgical-site infection after cardiac surgery","volume":"3","author":"Borges FM","year":"2005","journal-title":"einstein"},{"issue":"4","key":"ref2","first-page":"624","article-title":"Risk factors for sternal wound infections and application of the STS score in 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