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Ko Un Park, MD, Kenneth Moquin, MD  The Annals of Thoracic Surgery 

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Presentation on theme: "Ko Un Park, MD, Kenneth Moquin, MD  The Annals of Thoracic Surgery "— Presentation transcript:

1 Novel Use of External Tissue Expander for Management of Sternal Wound Dehiscence 
Ko Un Park, MD, Kenneth Moquin, MD  The Annals of Thoracic Surgery  Volume 100, Issue 4, Pages e81-e83 (October 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Pectoralis muscle skin flap necrosis with resultant large open sternal wound. After debridement of necrotic tissue, edges are marked for equidistant placement of skin anchors of DermaClose. The Annals of Thoracic Surgery  , e81-e83DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Application of DermaClose using shoelace technique. Wound edges were undermined intraoperatively and skin anchors were placed and secured using staples. Controller line was looped using shoelace technique. The Annals of Thoracic Surgery  , e81-e83DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Postoperative day 7 after application of DermaClose. Edges of wound are approximated to allow primary closure under limited tension. The Annals of Thoracic Surgery  , e81-e83DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Five months after initial DermaClose application, wound edges are completely approximated and incision is healed. The Annals of Thoracic Surgery  , e81-e83DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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