Refinements in Intrathoracic Use of Muscle Flaps

Nb, Meland; Pg, Arnold; Pc, Pairolero; Vf, Trastek

doi:10.1016/s0094-1298(20)30651-9

Cited by 6 publications

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Obliteration of dead space may be required and can be achieved with one or more pedicled flaps. Commonly utilized muscles for this purpose include pectoralis major, latissimus dorsi, serratus anterior, rectus abdominis, and intercostal muscles ( 25 ). A multidisciplinary approach with the involvement of thoracic and reconstructive surgeons, as well as careful operative planning, are key for positive clinical outcomes in this setting.…”

Section: Management Of Complicationsmentioning

confidence: 99%

Management of complications after chest wall resection and reconstruction: a narrative review

Lampridis,

Minervini,

Scarci

2024

J Thorac Dis

View full text Add to dashboard Cite

Background and Objective Chest wall resection and reconstruction procedures carry high postoperative morbidity. Therefore, successful outcomes necessitate prevention, prompt identification, and appropriate management of ensuing complications. This narrative review aims to provide a comprehensive overview of evidence-based strategies for managing complications following chest wall resection and reconstruction. Methods A literature search was conducted using the PubMed database for relevant English-language studies published since 1980. Key Content and Findings Complications following chest wall resection and reconstruction can be broadly classified into surgical site-related, respiratory, or other systemic complications. Surgical site and respiratory complications are the most common, with reported incidence rates of approximately 40% across some series. Predisposing factors for respiratory morbidity include greater numbers of resected ribs and concurrent pulmonary lobectomy. Definitive correlations between specific prosthetic materials and complications remain elusive. Management should be tailored to the type and severity of the complication, surgical variables, and patient factors. Specific approaches for managing common complications are discussed in detail. Emerging preventive approaches, such as minimally invasive surgical techniques, are also briefly highlighted to help guide future research. Conclusions An emphasis on anticipating and judiciously managing complications of chest wall resection and reconstruction, alongside a coordinated multidisciplinary approach, can optimize outcomes for patients undergoing this intrinsically complex surgery.

show abstract

Section: Management Of Complicationsmentioning

confidence: 99%