Intra-thoracic defects continue to pose a challenge for the reconstructive surgeon.Stable soft tissue coverage and obliteration of dead space can be particularly challenging when complicated by infection or previous r...Intra-thoracic defects continue to pose a challenge for the reconstructive surgeon.Stable soft tissue coverage and obliteration of dead space can be particularly challenging when complicated by infection or previous radiation.These cases may require a less conventional method of reconstruction.We describe a case in which vacuumassisted closure followed by pedicled omental flap transposition was successfully used to reconstruct a complicated intra-thoracic wound following pneumonectomy,radiation therapy,and recurrent wound dehiscences secondary to chronic infection.展开更多
Post-traumatic lymphedema(PTL)is a complex,debilitating,and potentially common disease which has received limited attention to date.The available literature is reviewed to identify injury patterns and critical lymphat...Post-traumatic lymphedema(PTL)is a complex,debilitating,and potentially common disease which has received limited attention to date.The available literature is reviewed to identify injury patterns and critical lymphatic areas associated with the disease.A deeper understanding of these critical anatomic regions allows the reconstructive surgeon to potentially identify PTL patients earlier in order to apply surgical and nonsurgical interventions in the acute phase,improving lymphatic physiology and,ultimately,patient outcomes.Current diagnostic and treatment approaches are discussed in detail,with a focus on lymphatic microsurgical techniques developed and applied to PTL within the last decade.展开更多
文摘Intra-thoracic defects continue to pose a challenge for the reconstructive surgeon.Stable soft tissue coverage and obliteration of dead space can be particularly challenging when complicated by infection or previous radiation.These cases may require a less conventional method of reconstruction.We describe a case in which vacuumassisted closure followed by pedicled omental flap transposition was successfully used to reconstruct a complicated intra-thoracic wound following pneumonectomy,radiation therapy,and recurrent wound dehiscences secondary to chronic infection.
文摘Post-traumatic lymphedema(PTL)is a complex,debilitating,and potentially common disease which has received limited attention to date.The available literature is reviewed to identify injury patterns and critical lymphatic areas associated with the disease.A deeper understanding of these critical anatomic regions allows the reconstructive surgeon to potentially identify PTL patients earlier in order to apply surgical and nonsurgical interventions in the acute phase,improving lymphatic physiology and,ultimately,patient outcomes.Current diagnostic and treatment approaches are discussed in detail,with a focus on lymphatic microsurgical techniques developed and applied to PTL within the last decade.
