Experimental Flail Chest

Gyhra, Alberto; Torres, Patrício; Pino, Jorge Henríquez; Palacios, Silvia; Cid, Luís

doi:10.1097/00005373-199606000-00019

Cited by 11 publications

(3 citation statements)

References 9 publications

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“…The isolated use of a myocutaneous flaps for reconstruction in human patients after extensive thoracic wall resection (≥3 ribs) did not result in postoperative deterioration in pulmonary function as assessed by forced expiratory volume measurements 13 . Experimental canine models of flail chest have demonstrated that breathing pattern and arterial blood gas measurements are unaffected by paradoxical respiratory movement of a large flail segment (4–5 ribs) 14–16 . This literature supports use of non‐rigid thoracic wall reconstruction.…”

Section: Discussionmentioning

confidence: 57%

Use of a Latissimus Dorsi Myocutaneous Flap for One‐Stage Reconstruction of the Thoracic Wall After En bloc Resection of Primary Rib Chondrosarcoma in Five Dogs

Halfacree¹,

Lipscomb²,

Grierson³

et al. 2007

Veterinary Surgery

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Section: Discussionmentioning

confidence: 57%

Use of a Latissimus Dorsi Myocutaneous Flap for One‐Stage Reconstruction of the Thoracic Wall After En bloc Resection of Primary Rib Chondrosarcoma in Five Dogs

Halfacree¹,

Lipscomb²,

Grierson³

et al. 2007

Veterinary Surgery

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“…Meshes and mesh‐methylmethacrylate sandwiches are preferred for these reconstructions as the additional rigidity reduces paradoxical chest wall motion and resultant ventilatory compromise, and provides superior protection of intrathoracic organs and vessels 9–12,28 . However, the necessity for rigid chest wall reconstruction in dogs is questionable because paradoxical chest wall motion does not affect ventilatory function in either experimental models of traumatic flail chest or in clinical reports of chest wall reconstruction in dogs 14,29–31 …”

Section: Discussionmentioning

confidence: 99%

“…Respiratory complications are also rare in other studies of chest wall reconstruction in dogs. Paradoxical motion of the reconstructed chest wall has been reported in dogs, 8,14 but, in both experimental and clinical studies, paradoxical motion in the absence of underlying pulmonary trauma does not result in pulmonary hypofunction in dogs 14,29–31 . As a result, more rigid chest wall reconstruction techniques, like mesh‐methylmethacrylate sandwiches and rib replacement with spinal lubra plates, are probably unnecessary in dogs.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Chest Wall Defects After Rib Tumor Resection: A Comparison of Autogenous, Prosthetic, and Composite Techniques in 44 Dogs

et al. 2008

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Objective-To compare short-and long-term outcome and complications of chest wall reconstruction in dogs using autogenous, prosthetic, and composite autogenous-prosthetic techniques. Study Design-Historical cohort. Animals-Dogs (n ¼ 44) with spontaneous tumors arising from or involving the chest wall. Methods-Medical records were reviewed for dogs with rib and/or sternal tumors treated by chest wall resection and reconstruction. Signalment, preoperative clinical features, intraoperative findings and complications, reconstruction technique (autogenous muscle flap, prosthetic mesh, or composite autogenous-prosthetic technique), and short-( 14 days) and long-term (414 days) postoperative complications were determined from the medical records and telephone contact with owners and referring veterinarians. Associations between chest wall reconstruction technique and postoperative complications were tested with Cox proportional hazards. Results-Chest wall defects were reconstructed with autogenous muscle flaps (29 dogs), prosthetic mesh (3), and a composite technique of prosthetic mesh and either autogenous muscle or omental pedicle flap (12). Early postoperative complications were recorded in 8 dogs (18.2%) and included seroma (5) and pleural effusion and peripheral edema (3). One dog had a late complication (2.3%) with a mesh-related infection 767 days postoperatively. Overall, complications occurred in 10.3% of autogenous, 25.0% of composite, and 66.7% of prosthetic reconstructions. Chest wall reconstruction with Marlex mesh alone was associated with a significantly increased risk of postoperative complications compared with autogenous reconstruction (P ¼ .027). Reconstruction of sternal defects (3), 2 of which were performed with Marlex mesh alone, was associated with a significantly increased risk of complications compared with lateral chest wall reconstructions (P ¼ .037). Conclusions-Large chest wall defects can be reconstructed with autogenous and composite techniques, but prosthetic mesh should be covered with well-vascularized autogenous muscle or omentum to decrease the risk of postoperative complications. Sternal defects should be reconstructed with rigid techniques. Clinical Relevance-Chest wall reconstruction with autogenous muscle flaps or a combination of autogenous techniques with prosthetic mesh is associated with a low rate of infection and other complications. r

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Tumors of the Thoracic Wall

Liptak¹

2012

Small Animal Soft Tissue Surgery

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Experimental Flail Chest

Cited by 11 publications

References 9 publications

Use of a Latissimus Dorsi Myocutaneous Flap for One‐Stage Reconstruction of the Thoracic Wall After En bloc Resection of Primary Rib Chondrosarcoma in Five Dogs

Use of a Latissimus Dorsi Myocutaneous Flap for One‐Stage Reconstruction of the Thoracic Wall After En bloc Resection of Primary Rib Chondrosarcoma in Five Dogs

Reconstruction of Chest Wall Defects After Rib Tumor Resection: A Comparison of Autogenous, Prosthetic, and Composite Techniques in 44 Dogs

Tumors of the Thoracic Wall

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