Articulated Endoscopic Linear Cutter Stapler Facilitates Minimal Access Harvest of the Latissimus Dorsi Muscle Flap for Chest Wall Reconstruction in Poland Syndrome

Abstract Alloplastic material is often used for thoracic wall reconstruction following extended resection bringing the risk of infection, especially after chemotherapy and/or radiation. We present the case of a 66-year-old male with lung adenocarcinoma of the right lower lobe. After extended lobectomy, a partial resection of the sixth to eighth ribs followed by chest wall reconstruction with Mersilene mesh and osteosynthesis for sixth and seventh rib was performed. One month postoperatively, he developed pleural empyema. The alloplastic material was removed, extensive surgical debridement was performed and a latissimus dorsi muscle flap was used to cover the chest wall defect and fill out the remnant space supradiaphragmatically. Three years later, the patient has fully recovered with no local pain or relapse of the tumour. This case shows that rigid chest wall reconstruction with a soft autologous muscle flap is a valuable salvage option in case of infection, making alloplastic material highly risky.

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Robotic-assisted latissimus dorsi muscle flap for autologous chest reconstruction in poland syndrome

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2020.01.030 ◽

2020 ◽

Vol 73 (8) ◽

pp. 1506-1513

Author(s):

K.C. Moon ◽

H.D. Yeo ◽

E.S. Yoon ◽

B.I. Lee ◽

S.H. Park ◽

...

Keyword(s):

Latissimus Dorsi ◽

Muscle Flap ◽

Latissimus Dorsi Muscle ◽

Poland Syndrome ◽

Latissimus Dorsi Muscle Flap ◽

Robotic Assisted ◽

Dorsi Muscle

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Chest wall resection and reconstruction by rigid prosthesis and latissimus dorsi muscle flap coverage

ASVIDE ◽

10.21037/asvide.2020.021 ◽

2020 ◽

Vol 7 ◽

pp. 21-21

Author(s):

Francesco Petrella ◽

Giorgio Lo Iacono ◽

Monica Casiraghi ◽

Lorenzo Gherzi ◽

Elena Prisciandaro ◽

...

Keyword(s):

Chest Wall ◽

Latissimus Dorsi ◽

Muscle Flap ◽

Latissimus Dorsi Muscle ◽

Chest Wall Resection ◽

Latissimus Dorsi Muscle Flap ◽

Flap Coverage ◽

Dorsi Muscle

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Reconstruction of Chest-Wall Radiation Ulcer with Free Latissimus Dorsi Muscle Flap and Meshed Skin Graft

Plastic & Reconstructive Surgery ◽

10.1097/00006534-198306000-00010 ◽

1983 ◽

Vol 71 (6) ◽

pp. 805-808 ◽

Cited By ~ 11

Author(s):

Takao Harashina ◽

Shozo Takayama ◽

Yuji Ikuta ◽

Toyomi Fujino

Keyword(s):

Chest Wall ◽

Skin Graft ◽

Latissimus Dorsi ◽

Muscle Flap ◽

Latissimus Dorsi Muscle ◽

Latissimus Dorsi Muscle Flap ◽

Dorsi Muscle ◽

Radiation Ulcer

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Multiple segment total en bloc vertebrectomy and chest wall resection in a dog with an invasive myxosarcoma

Veterinary Record Case Reports ◽

10.1136/vetreccr-2019-001033 ◽

2020 ◽

Vol 8 (2) ◽

pp. e001033 ◽

Cited By ~ 1

Author(s):

Julius M Liptak ◽

Stan Veytsman ◽

Shanna Kerr ◽

Jan Klasen

Keyword(s):

Chest Wall ◽

Latissimus Dorsi ◽

Muscle Flap ◽

Latissimus Dorsi Muscle ◽

Thoracic Wall ◽

Patient Specific ◽

Chest Wall Resection ◽

En Bloc ◽

Latissimus Dorsi Muscle Flap ◽

Dorsi Muscle

A 9.5-year-old, 22.6 kg, castrated male mixed breed dog was diagnosed with a paravertebral myxosarcoma invading into the T9–T11 vertebrae and dorsal left-sided thoracic wall. A total multisegment vertebrectomy of T9–T12 and chest wall resection of the left 8th–12th ribs were performed to resect the tumour en bloc. A patient-specific, three-dimensional implant was designed and printed to reconstruct the defect in the vertebral column following resection of the tumour. This implant was supplemented with four 2.7 mm string-of-pearl plates. The chest wall defect was reconstructed with a latissimus dorsi muscle flap. Postoperative complications included neurological deterioration, and necrosis of the latissimus dorsi muscle flap resulting in marked pneumothorax and cardiorespiratory arrest 17 days postoperatively.

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