Local muscle flaps via video-assisted thoracoscopic surgery (VATS) without thoracotomy for dead space obliteration

Local muscle flaps via video-assisted thoracoscopic surgery (VATS) without thoracotomy for dead... 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Local muscle flaps via video-assisted thoracoscopic surgery (VATS) without thoracotomy for dead space obliteration

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Springer Berlin Heidelberg
Copyright © 2016 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
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