[Reconstruction of a thoracic wall defect using a flap of omentum obtained by laparoscopy]. / Obtenção de retalho de epíplon por via laparoscópica para reconstrução de defeito da parede torácica.
Rev Hosp Clin Fac Med Sao Paulo
; 52(4): 217-20, 1997.
Article
en Pt
| MEDLINE
| ID: mdl-9567373
ABSTRACT
Reconstructive of complex chest wall defects following infected sternotomy represents a surgical challenge. Several options were described for these defects reconstructions, using muscles flaps and omentum which provided obliteration of dead space and coverage. We present a reconstruction of a major chest and abdominal wall defect in a 62-year old patient, who had mediastinitis, osteomyelitis and necrosis of sternum after myocardial revascularization. The pectoralis major was used unsuccessfully, with total loose of the flap. After wound failure, a flap of omentum based on the left gastroepiploic vessels was obtained by a laparoscopic surgery, with no complication. The omentum was translocated through the defect that reached the abdominal wall covering the defect and allowing the use of split-thickness grafts. The laparoscopic procedure showed advantages over the laparotomy in the management of omentum, with the same results in the reconstruction of the defect added the advantages of a minimal invasive procedure, mainly in patient with bad clinical conditions.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Epiplón
/
Colgajos Quirúrgicos
/
Tórax
Límite:
Humans
/
Male
/
Middle aged
Idioma:
Pt
Revista:
Rev Hosp Clin Fac Med Sao Paulo
Año:
1997
Tipo del documento:
Article