Transplantation of rectus abdominis musculocutaneous flap after open-window thoracostomy to manage chronic refractory pleural empyema and fistula with 2 cases report
- VernacularTitle:自体腹直肌皮瓣移植治疗慢性难治性脓胸(附4例报告)
- Author:
Bo-Xiong XIE
;
Ge-Ning JIANG
;
Jia-Sheng DONG
;
Yiming ZHOU
;
Wenxin HE
;
- Publication Type:Journal Article
- Keywords:
Empyema,pteural;
Rectus abdominis;
Surgical flaps;
Thoracic surgical procedures
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2003;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the experience of using rectus abdominis musculocutaneous flap after open-window thoracosto- my in managing refractory chronic pleural empyema.Methods From Nov.2004 to Mar.2006,intrathoracic transplantation of the musculocutaneous flap was performed successfully in 4 patients with empyema and fistula after upper lobectomy.The myocutaneous flap was designed in such a way that epigastrica vessels were incorporated.Results The rectus abdominis myocutaneous flap has provided sufficient bulk for tract obliteration.Over a mean follow-up period of 10 months,patients are free from recurrent infections and skin nacrosis.Conclusion Vaseularized museulocutaneous flap may help in healing refractory empyema.
