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

Harenberg, P.S.; Aw, Viol; Ta, D'Amico; Levin, L. Scott; Erdmann, Detlev

doi:10.1007/s00104-009-1695-y

Cited by 2 publications

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many surgical procedures have been used to reconstruct the chest wall. [15,16] Several years ago, negative pressure wound therapy was used to cure those ulcers, which was limited to the area and locations. Of course, the hospital stay was longer.…”

Section: Discussionmentioning

confidence: 99%

Single- versus 2-stage reconstruction for chronic post-radiation chest wall ulcer

Zhou¹,

Zhang

2019

Medicine

View full text Add to dashboard Cite

Radiation therapy can have adverse effects on normal tissue and cause chronic ulcers. The purpose of this study was to compare breast cancer patients who underwent single-stage reconstruction with patients who underwent 2-stage reconstruction for chronic radiation-induced necrotic ulcers of the chest wall. This retrospective study comprised of 50 patients with chronic radiation-induced chest wall ulcers who underwent chest wall reconstruction in our hospital between January 2002 and January 2016. All patients developed ulcers after undergoing breast cancer surgery, followed by radiation therapy. These patients were divided into 2 groups: group A, patients who underwent debridement and reconstruction with tissue flaps simultaneously in a single-stage procedure; group B, patients who underwent debridement and omentum majus tamping in the 1st stage, followed by surgical reconstruction with skin grafting or flap transfer 2 weeks later. The postoperative complications and outcomes were evaluated and compared. These patients were followed up for 48 to 55 months (mean: 50 months), and overall survival was 98%. One patient in group A died of septicemia 5 days after the operation. Six patients in group A developed flap infection, among which 4 patients progressed to flap necrosis (group A: 6/25 vs group B: 0/25; P = .000). Compared to single-stage reconstruction, surgical reconstruction in 2 stages was safer and more effective in treating chronic radiation-induced ulcers of the chest wall, and is associated with fewer postoperative complications. The omentum majus flap was the most ideal tissue for the repair of these defects.

show abstract

Section: Discussionmentioning

confidence: 99%