Chest wall reconstruction using a turbocharged chimaeric anterolateral thigh flap

2008 ◽  
Vol 61 (4) ◽  
pp. 438-441 ◽  
Author(s):  
Sinclair M. Gore ◽  
Mohammed A. Akhavani ◽  
Norbert Kang ◽  
Jagdeep S. Chana
2007 ◽  
Vol 134 (2) ◽  
pp. 537-538 ◽  
Author(s):  
Raymond W.M. Ng ◽  
George K.H. Li ◽  
Jimmy Y.W. Chan ◽  
Josephine Y.W. Mak

2010 ◽  
Vol 43 (01) ◽  
pp. 088-091
Author(s):  
Pearlie W. W. Tan ◽  
Chin-Ho Wong ◽  
Heng-Nung Koong ◽  
Bien-Keem Tan

ABSTRACTWe present a massive 25 cm x 20 cm chest wall defect resulting from resection of recurrent cystosarcoma phyllodes of the breast along with six ribs exposing pleura. The chest wall was reconstructed with a Prolene mesh–methylmethacrylate cement sandwich while soft tissue reconstruction was carried out using a combined free anterolateral–anteromedial thigh musculocutaneous flap with two separate pedicles, anastomosed to the thoracodorsal and thoracoacromial vessels respectively. We explain our rationale for and the advantages of combining the musculocutaneous anterolateral thigh flap with the anteromedial-rectus femoris thigh flap.


2016 ◽  
Vol 50 (6) ◽  
pp. 1208-1209 ◽  
Author(s):  
Cécile Philandrianos ◽  
Dominique Casanova ◽  
Xavier Benoit D'journo ◽  
Pascal Alexandre Thomas

2021 ◽  
Vol 87 (3) ◽  
pp. 298-309
Author(s):  
Dajiang Song ◽  
Juanjuan Li ◽  
Georgios Pafitanis ◽  
Zan Li

Author(s):  
Srikanth Vasudevan ◽  
Shriram Vaidya ◽  
Ritu Baath S. ◽  
Ashok Basur C. ◽  
Anantheswar Yellambalase N. ◽  
...  

Abstract Background Paradoxical respiration is a sinister consequence of bony chest cage defects which can persist even post chest wall reconstruction. It leads to prolonged dependence on mechanical ventilation postoperatively, thereby delaying recovery. Methods Negative pressure wound therapy (NPWT) was applied in early postoperative period to a patient with chest wall defect reconstructed with folded prolene mesh and free anterolateral thigh flap. Arterial blood gas (ABG), fraction of inspired oxygen (FiO2), peak end expiratory pressure (PEEP), oxygen saturation (SpO2), and blood pressure (BP) readings pre and post NPWT application were compared. Results There was marked improvement in the breathing mechanics and related parameters post NPWT application over the flap. Conclusions Negative extrathoracic pressure in the form of a temporary splint can enable early weaning off the ventilator and a smoother postoperative recovery in reconstructed chest wall defects.


2021 ◽  
Vol 14 (7) ◽  
pp. e241603
Author(s):  
Walter Sebastián Nardi ◽  
Agustin Buero ◽  
Leonardo Pankl ◽  
Sergio Damián Quildrian

Primary soft-tissue sarcomas (STSs) of the chest wall are uncommon. Complete surgical resection remains the mainstay of treatment being sternal resection ocassionally required. We present a 25-year-old man with an anterior chest wall STS. The patient underwent complete oncological resection with reconstruction using titanium bars combined with a free vascularised anterolateral thigh flap. STSs of the chest wall are very rare and they comprise a surgical challenge for both resection and reconstruction.


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