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Fig. 1 | Journal of Cardiothoracic Surgery

Fig. 1

From: Bilateral-pectoral major muscle advancement flap combined with vacuum-assisted closure therapy for the treatment of deep sternal wound infections after cardiac surgery

Fig. 1

Methods and Surgical Technique. 1 DSWI after cardiac surgery; 2. The wound after debridement; 3. Using VAC after debridement; 4. The wound after debridemen and VAC; 5. The skin and subcutaneous tissue are sutured by methods of relieving tension; 6. Using VAC after retension suture of the skin; 7. VAC is removed; 8. Wound healing; 9. Separate the starting points of the bilateral pectoralis major muscles; 10. Advance the bilateral pectoralis major muscles to the middle; 11. Suture the bilateral pectoralis major muscles; 12. Reduce the tension of the flaps; 13. The skin and subcutaneous tissue is sutured by methods of relieving tension; 14. Using VAC after retension suture of the skin; 15. VAC is removed; 16.The wound after second debridement; 17. Using VAC after second debridement

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