Plastic surgery in chest wall reconstruction: relevant aspects - case series

Franco, Diogo; Filho, João Medeiros Tavares; Cardoso, Paola; Filho, Laércio Moreto; Reis, Mario Celso Martins; Boasquevisque, Carlos Henrique Ribeiro; Rocha, André Santos da; Coelho-Oliveira, Afrânio; Oliveira, José Aldrovando de; Franco, Talita

doi:10.1590/0100-69912015006003

Cited by 6 publications

(3 citation statements)

References 17 publications

(15 reference statements)

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“…In our experience, surgical management was due to the width of necrotic area and the coexistence of poor prognostic factors (diabetes mellitus and microangiopathy), exposing the patient to difficult wound healing and regeneration processes and to a higher risk of infection. Literature data confirm this attitude, 5 especially when conservative treatment is ineffective. In conclusion, surgical correction using skin flap rotation represents a safe, effective, and convenient choice.…”

Section: Discussionmentioning

confidence: 82%

Management of Bronchopleural Fistula Complicated by Skin Wound Necrosis after Thoracomyoplasty

Divisi

Barone

Zaccagna

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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Summary:Skin necrosis is a rare complication after thoracomyoplasty and usually needs conservative treatment. We described positive findings with surgical approach. A 54-year-old man showed bronchopleural fistula after undergoing right pneumonectomy for lung cancer, treated with thoracomyoplasty. On the 20th postoperative day, a skin wound lesion was noted, whose deterioration required a skin flap transposition. Patient was discharged from hospital on the 7th postoperative day and did not show relapse at the 7th year follow-up. Surgery can be the most viable alternative to medical treatments in the management of a chest wall cutaneous complication even in high-risk patients.

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Section: Discussionmentioning

confidence: 82%

Management of Bronchopleural Fistula Complicated by Skin Wound Necrosis after Thoracomyoplasty

Divisi

Barone

Zaccagna

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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“…In this surgery, resection is as important as reconstruction. Franco et al, from Brazil, 15 suggested that the involvement of a plastic surgeon is a key element in planning the skin incision and dissecting the structures that allow preserving flap options to facilitate reconstruction but without harming surgical resection. 2 We believe that the presence of a surgeon used to working with the spine (pediatric orthopedist in our institution) is also beneficial if the resection extends beyond the costotransverse joint.…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Custom-Made Titanium Ribs for Reconstruction of a Large Chest Wall Defect

Simal

García-Casillas

Cerdá

et al. 2016

European J Pediatr Surg Rep

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Reconstruction of large chest wall defects always demand surgeons of having lots of means available (both materials and resourceful) to apply a cover to chest wall defects which can range from a few centimeters to the lack of a few entire ribs. In this study, we present the case of a teenager who suffered from a complete resection of three ribs because of Ewing sarcoma dependent on the sixth rib. Given the size of the defect, a multidisciplinary approach was chosen to provide rigid and soft tissue coverage and minimal functional and aesthetic impact. Custom-made titanium implants were designed based on three-dimensional computed tomography scan reconstruction. The surgical specimen via a left lateral thoracotomy (fifth, sixth, and seventh entire ribs) was resected, leaving a defect of 35 × 12 × 6 cm. A Gore-Tex patch (W. L. Gore & Associates, Arizona, United States) was placed and, after that, the implants were anchored to the posterior fragment of the healthy ribs and to the costal cartilage anteriorly. Finally, the surgical site was covered with a latissimus dorsi flap. The postoperative course was uneventful. After 9 months of follow-up, the patient has full mobility. This case shows that the implant of custom-made ribs, combined with other techniques, is a good surgical choice for reconstruction of large chest wall defects. The implant of custom-made ribs, combined with other techniques, is a good surgical choice for reconstruction of large chest wall defects.

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“…As feridas abertas têm um alto risco de contaminação e têm períodos de cicatrização prolongados, o que requer que essa condição seja resolvida da forma mais rápida e eficiente possível (SANTOS, 2006;BHARDWAJ;CHOUHAN;MADAL, 2018). A escassez de materiais de enxertia, devido ao número limitado de doadores, e a inexistência de um banco de pele acessível dificultam o uso de enxertos de pele em cirurgias reconstrutivas (GILPIN;YANG, 2017, FRANCO et al, 2015LABUS et al, 2017). Uma ferramenta alternativa para superar a escassez de tecido transplantado tem sido procurada há muito tempo.…”

Section: Objetivosunclassified

>b<Recelularização de derme de rato Wistar>/b<

Martins¹

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Plastic surgery in chest wall reconstruction: relevant aspects - case series

Abstract: the proper assessment of local tissues and flaps available for reconstruction, in addition to the successful integration of Plastic Surgery with the specialties involved in the treatment, enable extensive resections of the chest wall and reconstructions that provide patient recovery.

Cited by 6 publications

References 17 publications

Management of Bronchopleural Fistula Complicated by Skin Wound Necrosis after Thoracomyoplasty

Management of Bronchopleural Fistula Complicated by Skin Wound Necrosis after Thoracomyoplasty

Three-Dimensional Custom-Made Titanium Ribs for Reconstruction of a Large Chest Wall Defect

>b<Recelularização de derme de rato Wistar>/b<

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