Plastic surgery in chest wall reconstruction: relevant aspects - case series
Objective: to discuss the participation of Plastic Surgery in the reconstruction of the chest wall, highlighting relevant aspects of interdisciplinaryness. Methods: we analyzed charts from 20 patients who underwent extensive resection of the thoracic integument, between 2000 and 2014, recording th...
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| Format: | Article |
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Colégio Brasileiro de Cirurgiões
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| Series: | Revista do Colégio Brasileiro de Cirurgiões |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000700366&lng=en&tlng=en |
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| author | Diogo Franco João Medeiros Tavares Filho Paola Cardoso Laércio Moreto Filho Mario Celso Reis Carlos Henrique Ribeiro Boasquevisque Augusto Rocha Afrânio Coelho-Oliveira José Aldrovando de Oliveira Talita Romero Franco |
| author_facet | Diogo Franco João Medeiros Tavares Filho Paola Cardoso Laércio Moreto Filho Mario Celso Reis Carlos Henrique Ribeiro Boasquevisque Augusto Rocha Afrânio Coelho-Oliveira José Aldrovando de Oliveira Talita Romero Franco |
| author_sort | Diogo Franco |
| collection | DOAJ |
| description | Objective: to discuss the participation of Plastic Surgery in the reconstruction of the chest wall, highlighting relevant aspects of interdisciplinaryness. Methods: we analyzed charts from 20 patients who underwent extensive resection of the thoracic integument, between 2000 and 2014, recording the indication of resection, the extent and depth of the raw areas, types of reconstructions performed and complications. Results: among the 20 patients, averaging 55 years old, five were males and 15 females. They resections were: one squamous cell carcinoma, two basal cell carcinomas, five chondrosarcomas and 12 breast tumors. The extent of the bloody areas ranged from 4x9 cm to 25x40 cm. In 12 patients the resection included the muscular plane. In the remaining eight, the tumor removal achieved a total wall thickness. For reconstruction we used: one muscular flap associated with skin grafting, nine flaps and ten regional fasciocutaneous flaps. Two patients undergoing reconstruction with fasciocutaneous flaps had partially suffering of the flap, solved with employment of a myocutaneous flap. The other patients displayed no complications with the techniques used, requiring only one surgery. Conclusion: the proper assessment of local tissues and flaps available for reconstruction, in addition to the successful integration of Plastic Surgery with the specialties involved in the treatment, enable extensive resections of the chest wall and reconstructions that provide patient recovery. |
| first_indexed | 2024-04-13T03:47:31Z |
| format | Article |
| id | doaj.art-07e75cf68f7f4dcbbfae26237e68477b |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-04-13T03:47:31Z |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-07e75cf68f7f4dcbbfae26237e68477b2022-12-22T03:03:57ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-454642636637010.1590/0100-69912015006003S0100-69912015000700366Plastic surgery in chest wall reconstruction: relevant aspects - case seriesDiogo FrancoJoão Medeiros Tavares FilhoPaola CardosoLaércio Moreto FilhoMario Celso ReisCarlos Henrique Ribeiro BoasquevisqueAugusto RochaAfrânio Coelho-OliveiraJosé Aldrovando de OliveiraTalita Romero FrancoObjective: to discuss the participation of Plastic Surgery in the reconstruction of the chest wall, highlighting relevant aspects of interdisciplinaryness. Methods: we analyzed charts from 20 patients who underwent extensive resection of the thoracic integument, between 2000 and 2014, recording the indication of resection, the extent and depth of the raw areas, types of reconstructions performed and complications. Results: among the 20 patients, averaging 55 years old, five were males and 15 females. They resections were: one squamous cell carcinoma, two basal cell carcinomas, five chondrosarcomas and 12 breast tumors. The extent of the bloody areas ranged from 4x9 cm to 25x40 cm. In 12 patients the resection included the muscular plane. In the remaining eight, the tumor removal achieved a total wall thickness. For reconstruction we used: one muscular flap associated with skin grafting, nine flaps and ten regional fasciocutaneous flaps. Two patients undergoing reconstruction with fasciocutaneous flaps had partially suffering of the flap, solved with employment of a myocutaneous flap. The other patients displayed no complications with the techniques used, requiring only one surgery. Conclusion: the proper assessment of local tissues and flaps available for reconstruction, in addition to the successful integration of Plastic Surgery with the specialties involved in the treatment, enable extensive resections of the chest wall and reconstructions that provide patient recovery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000700366&lng=en&tlng=enThoracic Wall/surgeryBreast Neoplasms/complicationsBreast Neoplasms/surgeryPerforator Flap/surgeryMyocutaneous Flap/surgery |
| spellingShingle | Diogo Franco João Medeiros Tavares Filho Paola Cardoso Laércio Moreto Filho Mario Celso Reis Carlos Henrique Ribeiro Boasquevisque Augusto Rocha Afrânio Coelho-Oliveira José Aldrovando de Oliveira Talita Romero Franco Plastic surgery in chest wall reconstruction: relevant aspects - case series Revista do Colégio Brasileiro de Cirurgiões Thoracic Wall/surgery Breast Neoplasms/complications Breast Neoplasms/surgery Perforator Flap/surgery Myocutaneous Flap/surgery |
| title | Plastic surgery in chest wall reconstruction: relevant aspects - case series |
| title_full | Plastic surgery in chest wall reconstruction: relevant aspects - case series |
| title_fullStr | Plastic surgery in chest wall reconstruction: relevant aspects - case series |
| title_full_unstemmed | Plastic surgery in chest wall reconstruction: relevant aspects - case series |
| title_short | Plastic surgery in chest wall reconstruction: relevant aspects - case series |
| title_sort | plastic surgery in chest wall reconstruction relevant aspects case series |
| topic | Thoracic Wall/surgery Breast Neoplasms/complications Breast Neoplasms/surgery Perforator Flap/surgery Myocutaneous Flap/surgery |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000700366&lng=en&tlng=en |
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