Chest wall reconstruction--management of the difficult chest wound.
Abstract
Full-thickness chest wall defects after ablative surgery for metastatic cancer, trauma, infection, or irradiation injury have posed major and often impossible dilemmas for reconstruction. At times, resection has had to be abandoned because reconstruction was deemed infeasible. However, recent knowledge of the multicentric blood supply and anatomy of the latissimus dorsi and pectoralis major muscle make it possible to use these muscles and myocutaneous units (even following division of their major blood supply) for reconstruction of the chest wall. The reconstruction of difficult anterolateral chest wall defects is discussed and the options available to the surgeon before and after interruption of the major blood supply to these flaps are presented.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | blood
|
scispacy | 1 | ||
| 해부 | pectoralis
|
scispacy | 1 | ||
| 해부 | muscle
|
scispacy | 1 | ||
| 해부 | muscles
|
scispacy | 1 | ||
| 합병증 | infection
|
감염 | dict | 1 | |
| 합병증 | wound
|
scispacy | 1 | ||
| 합병증 | myocutaneous
|
scispacy | 1 | ||
| 질환 | cancer
|
C0006826
Malignant Neoplasms
|
scispacy | 1 | |
| 질환 | trauma
|
C0043251
Wounds and Injuries
|
scispacy | 1 | |
| 기타 | wall
|
scispacy | 1 | ||
| 기타 | latissimus dorsi
|
scispacy | 1 | ||
| 기타 | anterolateral chest wall
|
scispacy | 1 |
MeSH Terms
Adult; Aged; Breast Neoplasms; Female; Humans; Male; Middle Aged; Pneumonectomy; Postoperative Complications; Surgery, Plastic; Thoracic Neoplasms; Thoracic Surgery
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