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Local muscle flaps via video-assisted thoracoscopic surgery (VATS) without thoracotomy for dead space obliteration.
- Source :
-
European Journal of Plastic Surgery . Aug2016, Vol. 39 Issue 4, p293-296. 4p. - Publication Year :
- 2016
-
Abstract
- The obliteration of intra-thoracic dead space following tumor or empyema extirpation is imperative to successful long-term outcomes. We sought to describe the technique of using a pedicled latissmus dorsi muscle flap for obliteration of a large 14 × 6cm intrathoracic dead space following pleural decortication of chronic empyema, without thoracotomy or rib spreading via video-assisted thoracoscopic surgery (VATS). Specific attention is directed to the technical details of the flap harvest and inset in relation to the modifications required to inset the flap without a thoracotomy or rib spreading. The patient's history, presenting symptoms, pre-operative imaging, intraoperative details, and post-operative course are delineated with a focus on the length of stay, post-operative pain, and morbidity. The length of stay was 2 days with minimal pain on post-operative day one managed with oral nacrotic; long term post-operative X-ray revealed obliterated dead space and the patient experienced no complications. Inset of pedicled latissmus muscle flaps via VATS technique without thoracotomy or rib spreading seems a safe and effective technique that can offer short hospitalization with minimal pain morbidity. Level of Evidence: Level V, therapeutic study [ABSTRACT FROM AUTHOR]
- Subjects :
- *CHEST endoscopic surgery
*THORACOTOMY
Subjects
Details
- Language :
- English
- ISSN :
- 0930343X
- Volume :
- 39
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- European Journal of Plastic Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 117017922
- Full Text :
- https://doi.org/10.1007/s00238-016-1180-z