Management of Post-lobectomy Bronchopleural: Cutaneous Fistula with a Rectus Abdominis Free Flap
Journal of the Korean Society of Plastic and Reconstructive Surgeons
;
: 795-798, 2009.
Artículo
en Inglés
| WPRIM
| ID: wpr-76843
ABSTRACT
PURPOSE:
The repair of complex chest wall defects presents a challenging problem for the reconstructive surgeon. In particular, a free flap is often required when the defect is large, in which case suitable recipient vessels must be found to insure revascularization. The authors report a case of persistent bronchopleural-cutaneous fistula developed after undergoing lobectomy for lung cancer.METHODS:
The defect area was repaired using a free vertical rectus abdominis muscle flap revascularized by microvascular anastomosis to the 6th intercostal pedicle. The flap obliterated the right chest cavity, closed the site of empyema drainage, and aided healing of a bronchopleuralcutaneous fistula.RESULTS:
The patient has remained healed for 14 months without any postoperative complications or recurrent infection or fistula.CONCLUSION:
We suggest that a rectus abdominis musculocutaneus free flap and intercostal pedicle as a recipient could be a useful method for repair of chest defects.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Tórax
/
Drenaje
/
Recto del Abdomen
/
Fístula Cutánea
/
Pared Torácica
/
Empiema
/
Colgajos Tisulares Libres
/
Fístula
/
Pulmón
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of the Korean Society of Plastic and Reconstructive Surgeons
Año:
2009
Tipo del documento:
Artículo
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