Breast Cerclage: An Innovative Expedient for Perimammary Dehiscence Healing

Giuseppe Cottone, Francesco Amendola, Rocco Caminiti, Vittoria Carlotta Magenes, Marta Paderi, Franz Wilhelm Baruffaldi Preis

Research output: Contribution to journalArticle

Abstract

The perimammary zone is a critical area for healing, due to high incidence of dehiscences, expecially sternal ones. Although deep sternal wound complications are nowadays less common after cardiac surgery, in some at risk patients, dehiscences still represent important complications of major cardiac or vascular surgeries and they are directly correlated to an increased risk of patient's morbidity and mortality. A heavy breast represents a source of tension on the perimammary wound, inhibiting or delaying a complete recovery. We report the case of a 66-year-old female patient with a critical post-surgical sternal dehiscence and multiple chronic comorbidities. The dehiscence was managed with a routinely performed primary intention closure combined with an innovative breast cerclage. To our opinion, this is the first reported description of a breast cerclage used as an expedient to reduce tension on the wound and minimize the risk of relapse, allowing a rapid and complete healing. This novel technique has proved to be effective and satisfactory in the achievement of both a functional and aesthetic results and we are confident that it could become a fully-fledged wound healing issue in chest wall reconstruction.

Original languageEnglish
JournalJournal of the American College of Clinical Wound Specialists
DOIs
Publication statusAccepted/In press - Jan 1 2018
Externally publishedYes

Keywords

  • Sternum
  • Surgical wound dehiscence
  • Thoracic wall
  • Traction
  • Wound healing

ASJC Scopus subject areas

  • Surgery
  • Dermatology
  • Medical–Surgical

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  • Cite this

    Cottone, G., Amendola, F., Caminiti, R., Magenes, V. C., Paderi, M., & Baruffaldi Preis, F. W. (Accepted/In press). Breast Cerclage: An Innovative Expedient for Perimammary Dehiscence Healing. Journal of the American College of Clinical Wound Specialists. https://doi.org/10.1016/j.jccw.2018.05.001