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<p>Wound complications after median sternotomy can present with a wide range of clinical manifestations, from superficial skin infections to mediastinitis requiring partial or total sternectomy. A pectoralis muscle flap, along with its modifications, remains the preferred reconstruction method. However, perforator flaps have recently been introduced for the reconstruction of sternal wounds. They appear to be advantageous in these high-risk patients due to their less invasive nature and lower donor site morbidity. However, despite these advantages, they have not achieved widespread use. the goal of this study was to present a simpler modification of the SEAP flap for sternal wound reconstruction. We describe the technical details and identify suitable patients for this modification, which we call a SEAP-based transposition flap. This retrospective study included nine patients who underwent reconstruction using a SEAP-based transposition flap. Data on flap size, postoperative complications, and length of hospital stay were recorded. The mean flap size was 18.0 ± 3.2 ⋅ 6.2 ± 0.7&#xa0;cm. The complication rate was 33%. No vascular complications were observed, and the median length of hospital stay following reconstructive surgery was 8 days. SEAP-based transposition flap is a feasible and technically straightforward option for sternal wound reconstruction in selected patients.</p>

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Superior Epigastric Artery-Based Transposition Flap for Sternal Wound Coverage

  • 期刊论文

  • 发表日期：

    2026年5月19日

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  • Bilgen Can,
  • Emrah Isıktekin,
  • Ali Can,
  • Ahmet Dolapoğlu,
  • Yusuf Furkan Kırış

摘要

Wound complications after median sternotomy can present with a wide range of clinical manifestations, from superficial skin infections to mediastinitis requiring partial or total sternectomy. A pectoralis muscle flap, along with its modifications, remains the preferred reconstruction method. However, perforator flaps have recently been introduced for the reconstruction of sternal wounds. They appear to be advantageous in these high-risk patients due to their less invasive nature and lower donor site morbidity. However, despite these advantages, they have not achieved widespread use. the goal of this study was to present a simpler modification of the SEAP flap for sternal wound reconstruction. We describe the technical details and identify suitable patients for this modification, which we call a SEAP-based transposition flap. This retrospective study included nine patients who underwent reconstruction using a SEAP-based transposition flap. Data on flap size, postoperative complications, and length of hospital stay were recorded. The mean flap size was 18.0 ± 3.2 ⋅ 6.2 ± 0.7 cm. The complication rate was 33%. No vascular complications were observed, and the median length of hospital stay following reconstructive surgery was 8 days. SEAP-based transposition flap is a feasible and technically straightforward option for sternal wound reconstruction in selected patients.