What is an omental flap?
Omental flaps are well described for chest wall reconstruction based on the right gastroepiploic artery. The omentum functions as a physical and immunologic barrier in the abdomen in its native position, and for this reason it is a favorite of general and urologic surgeons for covering anastomoses[3,5].
What is a chest flap?
These flaps are based medially on the secondary blood supply to the pectoralis major muscle, the internal mammary branches. If the left internal mammary artery was harvested for a cardiac bypass procedure, only the right pectoralis turnover flap can be used.
What is chest wall reconstruction?
The goal of chest wall reconstruction is to restore the function of the chest wall, allowing it to function normally. Chest wall reconstruction is major surgery and is performed under general anesthesia by a team of highly skilled surgeons and nurses.
What is chest wall resection and reconstruction?
A chest wall resection is a type of open-surgery (large incisions of 8-10 inches long / involves dividing the breast bone / general anesthesia) performed to remove all or part of soft tissue, cartilage, sternum and/or ribs.
What is omental flap surgery?
Through a created tunnel in the diaphragm, the pedicled omentum could be shoved into the anterior mediastinum, be wrapped around the prosthesis and fill the dead space of the cavity. The preexisting latissimus dorsi flap was taken to secure a permanent wound closure (Figure 1E and F).
What is omental pedicle flap?
An omental pedicle flap is fashioned when the physician dissects a portion of the omentum from over the transverse colon.
How long does a pectoral flap take to heal?
You will need to follow the following guidelines until your incisions completely heal. This is usually 6 weeks after your surgery. Your doctor will tell you how long to follow these guidelines for.
What is sternal wound?
Sternal wound infection is a life-threatening complication after cardiac surgery associated with high morbidity and mortality. Past treatment options have included closed suction and continuous irrigation.
What medical word means surgical repair of the chest?
[thor″ah-kot´ah-me]
What is full thickness chest wall resection?
Full-thickness CWR was defined as the resection of all visible tumour, extended to the surrounding skin with a safety margin of at least 2 cm, remaining glandular tissue, involved chest muscles, and at least one rib or part of the sternum.
What is the blood supply to the omentum?
The gastroepiploic artery (GEA) is made up of two arteries which supply the greater omentum and the stomach. The right gastroepiploic artery (RGEA) is also referred to as the right gastro-omental artery or arteria gastroepiploic dextra in older texts.
What is an omentum anatomy?
The omenta are folds of peritoneum enclosing nerves, blood vessels, lymph channels, and fatty and connective tissue. There are two omenta: the greater omentum hangs down from the transverse colon of the large intestine like an apron; the lesser omentum is much smaller and extends between the stomach and the liver.
What muscles are involved in a chest reconstruction?
Shoulder and arm function are achieved by the many muscles attached to the clavicle, scapula, and humerus. Major muscles pertinent to chest wall reconstruction include the pectoralis major, latissimus dorsi, serratus anterior, trapezius, and the rectus abdominus muscle.
What makes successful chest wall reconstruction successful?
Successful reconstructions are dependent upon a detailed knowledge of the functional anatomy and blood supply of the chest and the underlying pathophysiology of a particular disease process. This article will provide an overview of key principles and evidence-based approaches to chest wall reconstruction. Keywords: Chest wall reconstruction
What are the indications for chest wall reconstruction?
Common indications for chest wall reconstruction include infection, congenital abnormalities, tumor ablation (primary or recurrent), radiation injury, and trauma. Infection may manifest itself as mediastinitis or empyema.
Who is the author of the introduction to chest wall reconstruction?
Introduction to Chest Wall Reconstruction: Anatomy and Physiology of the Chest and Indications for Chest Wall Reconstruction Mark W. Clemens, M.D.,1Karen K. Evans, M.D.,2Samir Mardini, M.D.,3and Phillip G. Arnold, M.D.3 Mark W. Clemens 1Department of Plastic Surgery, MD Anderson Cancer Center, Houston, Texas Find articles by Mark W. Clemens
