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Thoraxwandrekonstruktion und Totraumobliteration

Einsatz einer intra-/extrathorakalen freien Lappenplastik

Thoracic wall defect reconstruction and dead space obliteration with an intra-/extrathoracic free flap

 

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Zusammenfassung

Vorgestellt wird der Fall eines 61-jährigen Patienten mit chronischem Thoraxwanddefekt und bronchopleuraler Fistel nach Resektion und mehrmaliger Rezidivresektion eines Desmoidtumors. Die bronchopleurale Fistel wurde mit einer Lungenkeilresektion verschlossen; die partielle Totraumobliteration und Thoraxwandrekonstruktion erfolgte mit Hilfe eines freien kombiniert intra-/extrathorakalen vertikalen M.-rectus-abdominis (VRAM)-Lappens.

Abstract

Presented is the case of a 61-year-old male patient with a chronic thoracic wall defect, including a bronchopleural fistula, after multiple resections of a desmoid tumor. After partial lung resection to remove the bronchopleural fistula, dead space was partially obliterated and the thoracic wall reconstructed with a free combined intra- and extrathoracic rectus abdominis muscle flap.

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Literatur

  1. Arnold PG, Johnson CH (1997) Chest wall reconstruction. Surg Oncol Clin N Am 6(1):91–114

    PubMed  CAS  Google Scholar 

  2. Chapelier A et al (1994) Chest wall reconstruction following resection of large primary malignant tumors. Eur J Cardiothorac Surg 8(7):351–356; discussion 357

    Article  PubMed  CAS  Google Scholar 

  3. Riedel K et al (2008) Plastic surgical reconstruction of extensive thoracic wall defects after oncologic resection. Chirurg 79(2):164–174

    Article  PubMed  CAS  Google Scholar 

  4. Skoracki RJ, Chang DW (2006) Reconstruction of the chestwall and thorax. J Surg Oncol 94(6):455–465

    Article  PubMed  Google Scholar 

  5. Steinau HU et al (1997) Reconstructive plastic surgery of thoracic wall defects. Chirurg 68(5):461–468

    Article  PubMed  CAS  Google Scholar 

  6. Kuntscher MV et al (2001) The concept of fillet flaps: classification, indications and analysis of their clinical value. Plast Reconstr Surg 108(4):885–896

    Article  PubMed  CAS  Google Scholar 

  7. Acarturk TO et al (2004) Laparoscopically harvested omental flap for chest wall and intrathoracic reconstruction. Ann Plast Surg 53(3):210–216

    Article  PubMed  Google Scholar 

  8. al-Kattan KM et al (1995) Soft-tissue reconstruction in thoracic surgery. Ann Thorac Surg 60(5):1372–1375

    Article  PubMed  CAS  Google Scholar 

  9. Benazzo M et al (2000) Reconstruction of intrathoracic oesophagus using tubular lateral thigh free flap. J Laryngol Otol 114(7):551–553

    Article  PubMed  CAS  Google Scholar 

  10. Cordeiro PG et al (1998) The total volar forearm musculocutaneous free flap for reconstruction of extended forequarter amputations. Ann Plast Surg 40(4):388–396

    Article  PubMed  CAS  Google Scholar 

  11. Disa JJ, Cordeiro PG (2001) Reconstruction of the hypopharynx and cervical esophagus. Clin Plast Surg 28(2):349–360

    PubMed  CAS  Google Scholar 

  12. Hammond DC, Fisher J, Meland NB (1993) Intrathoracic free flaps. Plast Reconstr Surg 91(7):1259–1264

    Article  PubMed  CAS  Google Scholar 

  13. Hanashi T et al (1991) A case report on the perforation of a gastric tube ulcer after esophageal reconstruction for cancer. Nippon Kyobu Geka Gakkai Zasshi 39(8):1242–1246

    PubMed  CAS  Google Scholar 

  14. Hultman CS et al (2002) Utility of the omentum in the reconstruction of complex extraperitoneal wounds and defects: donor-site complications in 135 patients from 1975 to 2000. Ann Surg 235(6):782–795

    Article  PubMed  Google Scholar 

  15. Perkins DJ et al (1995) Free flaps in the management of intrathoracic sepsis. Br J Plast Surg 48(8):546–550

    Article  PubMed  CAS  Google Scholar 

  16. Shimizu J et al (2001) Intrathoracic free musculocutaneous flap after open-window thoracostomy for chronic empyema. Thorac Cardiovasc Surg 49(4):237–239

    Article  PubMed  CAS  Google Scholar 

  17. Chicarilli ZN et al (1985) Management of recalcitrant bronchopleural fistulas with muscle flap obliteration. Plast Reconstr Surg 75(6):882–887

    Article  PubMed  CAS  Google Scholar 

  18. Deschamps C et al (2001) Management of postpneumonectomy empyema and bronchopleural fistula. Semin Thorac Cardiovasc Surg 13(1):13–19

    PubMed  CAS  Google Scholar 

  19. Singh B et al (1999) Factors associated with complications in microvascular reconstruction of head and neck defects. Plast Reconstr Surg 103(2):403–411

    Article  PubMed  CAS  Google Scholar 

  20. Engel H et al (2007) An innovative treatment concept for free flap reconstruction of complex central chest wall defects – the cephalic-thoraco-acromial (CTA) loop. Microsurgery 27(5):481–486

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Plastic, Reconstructive, Maxillofacial and Oral Surgery, Duke University Medical Center, Box 3181, Durham, NC 27710, USA

    P.S. Harenberg, A.W. Viol, L.S. Levin &  D. Erdmann M.H.Sc.

  2. Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Durham, NC, USA

    T.A. D’Amico

Authors
  1. P.S. Harenberg
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  2. A.W. Viol
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  3. T.A. D’Amico
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  4. L.S. Levin
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  5. D. Erdmann M.H.Sc.
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Corresponding author

Correspondence to D. Erdmann M.H.Sc..

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Harenberg, P., Viol, A., D’Amico, T. et al. Thoraxwandrekonstruktion und Totraumobliteration. Chirurg 80, 641–644 (2009). https://doi.org/10.1007/s00104-009-1695-y

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  • DOI: https://doi.org/10.1007/s00104-009-1695-y

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