Chest Wall Reconstruction

2019 ◽  
pp. 727-746
Author(s):  
Gregory P. Reece ◽  
Daniel Goldberg

This chapter summarizes the various surgical treatment options that can be used to restore the integrity of the chest wall after trauma or tumor resection and to assist with wound healing problems associated with infection and radiation therapy. Emphasis is placed on several considerations for patients undergoing chest wall reconstruction. The authors discuss the indications, contraindications, limitations, surgical anatomy, and technique of each flap type and the effective postoperative care and rehabilitation needed in order to prevent postoperative pulmonary problems. This chapter reviews some of the commonly used flaps for chest wall reconstruction. These flaps include the latissimus dorsi, rectus abdominis, and pectoralis major myocutaneous flaps and the omental flap.

2018 ◽  
Vol 27 (3) ◽  
pp. 200-206 ◽  
Author(s):  
Gideon Sandler ◽  
Andrea Hayes-Jordan

Author(s):  
SALUSTIANO GOMES DE PINHO PESSOA ◽  
VITOR DE VASCONCELLOS MUNIZ ◽  
ARTUR DE VASCONCELLOS MUNIZ ◽  
PAULO ROBERTO ARAÚJO BARRETO ◽  
RAFAEL JORGE ALVES DE ALCÂNTARA ◽  
...  

2017 ◽  
Vol 4 (8) ◽  
pp. 2653
Author(s):  
S. Mittal ◽  
B. Singh ◽  
M. S. Uppal ◽  
R. Mannan

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.


2011 ◽  
Vol 25 (01) ◽  
pp. 043-054 ◽  
Author(s):  
Karim Bakri ◽  
Samir Mardini ◽  
Karen Evans ◽  
Brian Carlsen ◽  
Phillip Arnold

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