Reconstrução da parede torácica nos defeitos adquiridos
Acquired chest wall defects present a challenging problem for thoracic surgeons. Many of such defects can be repaired with the use of local and regional musculocutaneous flaps, but larger defects compromising skeletal structure require increasingly sophisticated reconstructive techniques. The follow...
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| Format: | Article |
| Language: | English |
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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=S0100-69912010000100013&lng=en&tlng=en |
| _version_ | 1818572375270096896 |
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| author | Marcus Vinicius H. de Carvalho Eduardo Baldassari Rebeis Evaldo Marchi |
| author_facet | Marcus Vinicius H. de Carvalho Eduardo Baldassari Rebeis Evaldo Marchi |
| author_sort | Marcus Vinicius H. de Carvalho |
| collection | DOAJ |
| description | Acquired chest wall defects present a challenging problem for thoracic surgeons. Many of such defects can be repaired with the use of local and regional musculocutaneous flaps, but larger defects compromising skeletal structure require increasingly sophisticated reconstructive techniques. The following discussion will review the options for repair acquired chest wall defects based in literature. The authors searched the Pubmed (www.pubmed.com) and found citations from January 1996 to February 2008. By reading the titles and the abstracts most of the citations were discharged because they focused in congenital chest wall defects or were cases report. However, many papers were found describing the outcome of large series of patients with acquired chest wall deformities. A review of recent literature shows that the repair of chest wall defects with soft tissues, if possible, remains the treatment of choice. Large chest wall defects require skeletal reconstruction to prevent paradoxical respiration. The selection of the most appropriate flap is primary dictated by the location and the size of the defect. It is important to transfer tissue with good vitality, so understanding the vascular supply is imperative. Autogenous grafts have been used in the past for skeletal reconstruction but a combination of synthetic materials with musculocutaneous flaps has been used lately. Based in the literature, the use of prosthetic material in chest wall reconstruction does not significantly increases the risk of wound infection. |
| first_indexed | 2024-12-14T18:56:15Z |
| format | Article |
| id | doaj.art-137b062917284feaa45dd2a68d79570c |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-12-14T18:56:15Z |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-137b062917284feaa45dd2a68d79570c2022-12-21T22:51:05ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-454637106406910.1590/S0100-69912010000100013S0100-69912010000100013Reconstrução da parede torácica nos defeitos adquiridosMarcus Vinicius H. de Carvalho0Eduardo Baldassari Rebeis1Evaldo Marchi2Faculdade de Medicina de JundiaíFaculdade de Medicina de JundiaíFaculdade de Medicina de JundiaíAcquired chest wall defects present a challenging problem for thoracic surgeons. Many of such defects can be repaired with the use of local and regional musculocutaneous flaps, but larger defects compromising skeletal structure require increasingly sophisticated reconstructive techniques. The following discussion will review the options for repair acquired chest wall defects based in literature. The authors searched the Pubmed (www.pubmed.com) and found citations from January 1996 to February 2008. By reading the titles and the abstracts most of the citations were discharged because they focused in congenital chest wall defects or were cases report. However, many papers were found describing the outcome of large series of patients with acquired chest wall deformities. A review of recent literature shows that the repair of chest wall defects with soft tissues, if possible, remains the treatment of choice. Large chest wall defects require skeletal reconstruction to prevent paradoxical respiration. The selection of the most appropriate flap is primary dictated by the location and the size of the defect. It is important to transfer tissue with good vitality, so understanding the vascular supply is imperative. Autogenous grafts have been used in the past for skeletal reconstruction but a combination of synthetic materials with musculocutaneous flaps has been used lately. Based in the literature, the use of prosthetic material in chest wall reconstruction does not significantly increases the risk of wound infection.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912010000100013&lng=en&tlng=enThoracic wallReconstructive surgical proceduresSurgical flaps |
| spellingShingle | Marcus Vinicius H. de Carvalho Eduardo Baldassari Rebeis Evaldo Marchi Reconstrução da parede torácica nos defeitos adquiridos Revista do Colégio Brasileiro de Cirurgiões Thoracic wall Reconstructive surgical procedures Surgical flaps |
| title | Reconstrução da parede torácica nos defeitos adquiridos |
| title_full | Reconstrução da parede torácica nos defeitos adquiridos |
| title_fullStr | Reconstrução da parede torácica nos defeitos adquiridos |
| title_full_unstemmed | Reconstrução da parede torácica nos defeitos adquiridos |
| title_short | Reconstrução da parede torácica nos defeitos adquiridos |
| title_sort | reconstrucao da parede toracica nos defeitos adquiridos |
| topic | Thoracic wall Reconstructive surgical procedures Surgical flaps |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912010000100013&lng=en&tlng=en |
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