A twelve-year consecutive case experience in thoracic reconstruction.

Document Type

Article

Publication Date

3-2016

Institution/Department

Surgery

Journal Title

Plastic and reconstructive surgery. Global open.

Abstract

BACKGROUND: We describe the second largest contemporary series of flaps used in thoracic reconstruction.

METHODS: A retrospective review of patients undergoing thoracomyoplasty from 2001 to 2013 was conducted. Ninety-one consecutive patients were identified.

RESULTS: Thoracomyoplasty was performed for 67 patients with intrathoracic indications and 24 patients with chest wall defects. Malignancy and infection were the most common indications for reconstruction (P < 0.01). The latissimus dorsi (LD), pectoralis major, and serratus anterior muscle flaps remained the workhorses of reconstruction (LD and pectoralis major: 64% flaps in chest wall reconstruction; LD and serratus anterior: 85% of flaps in intrathoracic indication). Only 12% of patients required mesh. Only 6% of patients with

CONCLUSION: Thoracic reconstruction remains a safe and successful intervention that reliably treats complex and challenging problems, allowing more complex thoracic surgery problems to be salvaged.

ISSN

2169-7574

Comments

Division of Cardiothoracic Surgery, Maine Medical Center.

First Page

638

Last Page

638

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