scholarly journals Pedicled Latissimus Dorsi Kiss Flap for the Reconstruction of Large Chest Wall Defect After Mastectomy

2021 ◽  
Author(s):  
Shengchao Huang ◽  
Pu Qiu ◽  
Jianwen Li ◽  
Weizhang Chen ◽  
Zhongzeng Liang ◽  
...  
Keyword(s):  
Chest Wall ◽  
Latissimus Dorsi ◽  
Locally Advanced Breast Cancer ◽  
Locally Advanced ◽  
Breast Tumors ◽  
Extensive Resection ◽  
Wall Defect ◽  
Chest Wall Defect ◽  
Donor Area

Abstract To discover the utility of pedicled latissimus dorsi kiss flap for the reconstruction of chest wall defect after mastectomy. This study was a systemic analysis of 12 female patients with breast tumors who were treated at Affiliated Hospital of Guangdong Medical University from January 2018 to December 2019. Among them, three patients had malignant lobular breast tumors, and nine patients had locally advanced breast cancer. After extensive resection of the primary tumor, the chest wall skin, and soft tissue, a large defect was left in the chest wall of each patient. Based on the design and structure of the kiss flap, two semicircular flaps of equal diameter were designed in the latissimus dorsi region, and their blood supply was retained from the same vascular trunk. Two flaps were transferred to the chest wall through a subcutaneous tunnel, and the incision in the donor area was sutured directly. Finally, two equal semicircle flaps were adjusted to fit the defect and then fixed on the chest wall. Referred to the design of the kiss flap, the area of the latissimus dorsi was increased to cover a larger chest wall defect. We have used this flap to reconstruct chest wall defects on twelve patients. Their age ranged from 24 to 62. The largest defect was 20 × 12 cm, and the smallest defect was 15 × 10 cm in diameter. Postoperative follow-up time was 5–9 months (mean time: 6.2 months): Follow-up observations demonstrated that all the flaps were healed well without edema or extravasation and donor area of all cases was closed well. In addition, no local recurrence or distant metastasis was observed in all patients.

scholarly journals Chest wall reconstruction using Latismus Dorsi Flap: our experience

2017 ◽  
Vol 4 (8) ◽  
pp. 2653
Author(s):  
S. Mittal ◽  
B. Singh ◽  
M. S. Uppal ◽  
R. Mannan
Keyword(s):  
Chest Wall ◽  
Locally Advanced Breast Cancer ◽  
Locally Advanced ◽  
Graft Loss ◽  
Tumor Resection ◽  
Chest Wall Reconstruction ◽  
Advanced Breast ◽  
Clinical Issue ◽  
Wall Defect ◽  
Chest Wall Defect

Background: Covering a big chest wall defect is the main clinical issue in cancer resection whether it is due to locally advanced breast cancer or any other carcinomas extending to chest wall or injuries leading to chest wall defect. The main aim of the study was to discuss the role of latissmus dorsi flap in chest wall reconstruction.Methods: Study reviewed 15 patients with chest wall defect within a period of two years January 2015 - December 2016, who underwent chest wall reconstruction after tumor resection or burns.Results: Among 15 patients, 12 patients were having locally advanced breast tumors, only one patient with recurrent desmoids tumor of abdominal tumor of abdominal wall extending to chest wall and 2 cases were of electrical burn injuries. The age range varied from 40-60 years. Among these patients 13 were females and 2 were males. The defect size varied from 12x15 cm to 26 x 20 cm. There were no major complications except for partial graft loss in two patients.Conclusions: Lattissmus Dorsi flap is safe and very good flap for chest wall reconstruction.

scholarly journals Replacement of an extensive chest wall defect in combination with the elimination of postoperative ventral hernia after combined treatment of breast cancer complicated by osteomyelitis of the sternum and ribs

2021 ◽  
Vol 180 (2) ◽  
pp. 78-82
Author(s):  
E. B. Topolnitskiy ◽  
R. A. Mikhed ◽  
E. S. Marchenko ◽  
T. L. Chekalkin ◽  
S. V. Gunter
Keyword(s):  
Breast Cancer ◽  
Surgical Treatment ◽  
Ventral Hernia ◽  
Chest Wall ◽  
Combined Treatment ◽  
Wall Defect ◽  
Chest Wall Defect ◽  
Excellent Functional Result ◽  
Implant Displacement

Plastic replacement of osteochondral defect of the chest wall after surgical treatment of osteomyelitis of the sternum and ribs is a complex and topical issue in surgery. Often, an extensive post-resected defect of the sternum and ribs is combined with instability of the frame of the chest wall and thoracoabdominal hernia, which leads to physiological and socio-psychological maladaptation of the patient. The case of successful replacement of an extensive chest wall defect in combination with a ventral hernia in a patient after combined treatment of breast cancer complicated by osteomyelitis of the sternum and ribs is presented. TiNi- reinforcing rib prostheses and TiNi-mesh were used to create the frame of the chest wall and hernioplasty. 5-year follow-up did not reveal a recurrence of osteomyelitis and ventral hernia, implant displacement and instability of the frame of the chest wall. The method of reconstruction of an extensive thoracoabdominal defect using bioadaptive implants from TiNi is safe and effective in patients at the final stage of surgical treatment of osteomyelitis of the chest wall including in combination with ventral hernia. Thanks to the developed technology, an excellent functional result was achieved.

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