Omental transposition in the treatment of radionecrosis
A technique is described for the closure of chestwall defects following radical excision for radionecrosis. Such defects are usually extensive with an avascular bed and often involve an opening into the pleural cavity; surgical closure poses significant; problems. The method described here utilizes...
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Veröffentlicht in: | Brit. J. Surg., v. 60, no. 7, pp. 580-582 v. 60, no. 7, pp. 580-582, 1973-07, Vol.60 (7), p.580-582 |
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container_title | Brit. J. Surg., v. 60, no. 7, pp. 580-582 |
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creator | Cort, David F. Collis, J. Leigh |
description | A technique is described for the closure of chestwall defects following radical excision for radionecrosis. Such defects are usually extensive with an avascular bed and often involve an opening into the pleural cavity; surgical closure poses significant; problems. The method described here utilizes a transposed omental flap to provide a vascular bed for a skin‐graft, whilst cephalad shifting of the origin of the diaphragm is used to close the pleural defect. This latter innovation has the dual advantages of simplicity and effectiveness, whilst greatly facilitating the passage of the omentum to the chest wall with minimal risk of omental strangulation. |
doi_str_mv | 10.1002/bjs.1800600723 |
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Leigh</creator><creatorcontrib>Cort, David F. ; Collis, J. Leigh ; Queen Elizabeth Hospital, Birmingham, Eng</creatorcontrib><description>A technique is described for the closure of chestwall defects following radical excision for radionecrosis. Such defects are usually extensive with an avascular bed and often involve an opening into the pleural cavity; surgical closure poses significant; problems. The method described here utilizes a transposed omental flap to provide a vascular bed for a skin‐graft, whilst cephalad shifting of the origin of the diaphragm is used to close the pleural defect. This latter innovation has the dual advantages of simplicity and effectiveness, whilst greatly facilitating the passage of the omentum to the chest wall with minimal risk of omental strangulation.</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.1800600723</identifier><identifier>PMID: 4577597</identifier><language>eng</language><publisher>Bristol: John Wiley & Sons, Ltd</publisher><subject>Breast Neoplasms - radiotherapy ; Breast Neoplasms - surgery ; CHEST- RADIATION INJURIES ; CLOSURES ; Female ; GRAFTS ; Humans ; MAN ; Methods ; Middle Aged ; N48510 -Life Sciences-Radiation Effects on Animals-Man ; NECROSIS- PLASTIC SURGERY ; Neoplasm Recurrence, Local ; Omentum - surgery ; OPENINGS ; PLEURA ; Radiation Injuries - surgery ; RADIOTHERAPY- SIDE EFFECTS ; SKIN ; Skin - radiation effects ; Skin Transplantation ; Thorax ; Transplantation, Autologous ; Ulcer - surgery</subject><ispartof>Brit. J. 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Leigh</creatorcontrib><creatorcontrib>Queen Elizabeth Hospital, Birmingham, Eng</creatorcontrib><title>Omental transposition in the treatment of radionecrosis</title><title>Brit. J. Surg., v. 60, no. 7, pp. 580-582</title><addtitle>Br J Surg</addtitle><description>A technique is described for the closure of chestwall defects following radical excision for radionecrosis. Such defects are usually extensive with an avascular bed and often involve an opening into the pleural cavity; surgical closure poses significant; problems. The method described here utilizes a transposed omental flap to provide a vascular bed for a skin‐graft, whilst cephalad shifting of the origin of the diaphragm is used to close the pleural defect. This latter innovation has the dual advantages of simplicity and effectiveness, whilst greatly facilitating the passage of the omentum to the chest wall with minimal risk of omental strangulation.</description><subject>Breast Neoplasms - radiotherapy</subject><subject>Breast Neoplasms - surgery</subject><subject>CHEST- RADIATION INJURIES</subject><subject>CLOSURES</subject><subject>Female</subject><subject>GRAFTS</subject><subject>Humans</subject><subject>MAN</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>N48510 -Life Sciences-Radiation Effects on Animals-Man</subject><subject>NECROSIS- PLASTIC SURGERY</subject><subject>Neoplasm Recurrence, Local</subject><subject>Omentum - surgery</subject><subject>OPENINGS</subject><subject>PLEURA</subject><subject>Radiation Injuries - surgery</subject><subject>RADIOTHERAPY- SIDE EFFECTS</subject><subject>SKIN</subject><subject>Skin - radiation effects</subject><subject>Skin Transplantation</subject><subject>Thorax</subject><subject>Transplantation, Autologous</subject><subject>Ulcer - surgery</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1973</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFUFtPwjAYbYwGEX31zWTxffi1XS97VKKoIZAIiY9N13WhCBtZS5R_b8kIPH2Xc853OQjdYxhiAPJUrPwQSwAOIAi9QH1MOUsJ5vIS9SE2U0wJvUY33q8AMAVGeqiXMSFYLvpIzDa2DnqdhFbXftt4F1xTJ65OwtLGptXhQEiaKml1GSFr2kjyt-iq0mtv745xgBZvr4vRezqZjT9Gz5PUUM5pSkFimQkipLSMg8lLJgqdF0TzyuYmt5JIRjU1nJWa6LIqBcdUGB7zQjM6QI_d2MYHp7xxwZqlaep4RlBZlsUlPJIeOtJ2V2xsqbat2-h2r45PRjzv8F-3tvsTjEEdHFTRQXV2UL18zs9V1Kad1vlg_05a3f4oLqhg6ns6VvMvOpoC5krSf8abcsI</recordid><startdate>197307</startdate><enddate>197307</enddate><creator>Cort, David F.</creator><creator>Collis, J. Leigh</creator><general>John Wiley & Sons, Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>OTOTI</scope></search><sort><creationdate>197307</creationdate><title>Omental transposition in the treatment of radionecrosis</title><author>Cort, David F. ; Collis, J. Leigh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3663-30818472788e560c9d57ba9b2a6fe9c9e82853a3c65da2adfd76137c62adba53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1973</creationdate><topic>Breast Neoplasms - radiotherapy</topic><topic>Breast Neoplasms - surgery</topic><topic>CHEST- RADIATION INJURIES</topic><topic>CLOSURES</topic><topic>Female</topic><topic>GRAFTS</topic><topic>Humans</topic><topic>MAN</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>N48510 -Life Sciences-Radiation Effects on Animals-Man</topic><topic>NECROSIS- PLASTIC SURGERY</topic><topic>Neoplasm Recurrence, Local</topic><topic>Omentum - surgery</topic><topic>OPENINGS</topic><topic>PLEURA</topic><topic>Radiation Injuries - surgery</topic><topic>RADIOTHERAPY- SIDE EFFECTS</topic><topic>SKIN</topic><topic>Skin - radiation effects</topic><topic>Skin Transplantation</topic><topic>Thorax</topic><topic>Transplantation, Autologous</topic><topic>Ulcer - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cort, David F.</creatorcontrib><creatorcontrib>Collis, J. Leigh</creatorcontrib><creatorcontrib>Queen Elizabeth Hospital, Birmingham, Eng</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>OSTI.GOV</collection><jtitle>Brit. J. Surg., v. 60, no. 7, pp. 580-582</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cort, David F.</au><au>Collis, J. Leigh</au><aucorp>Queen Elizabeth Hospital, Birmingham, Eng</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Omental transposition in the treatment of radionecrosis</atitle><jtitle>Brit. J. Surg., v. 60, no. 7, pp. 580-582</jtitle><addtitle>Br J Surg</addtitle><date>1973-07</date><risdate>1973</risdate><volume>60</volume><issue>7</issue><spage>580</spage><epage>582</epage><pages>580-582</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><abstract>A technique is described for the closure of chestwall defects following radical excision for radionecrosis. Such defects are usually extensive with an avascular bed and often involve an opening into the pleural cavity; surgical closure poses significant; problems. The method described here utilizes a transposed omental flap to provide a vascular bed for a skin‐graft, whilst cephalad shifting of the origin of the diaphragm is used to close the pleural defect. This latter innovation has the dual advantages of simplicity and effectiveness, whilst greatly facilitating the passage of the omentum to the chest wall with minimal risk of omental strangulation.</abstract><cop>Bristol</cop><pub>John Wiley & Sons, Ltd</pub><pmid>4577597</pmid><doi>10.1002/bjs.1800600723</doi><tpages>3</tpages></addata></record> |
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language | eng |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Breast Neoplasms - radiotherapy Breast Neoplasms - surgery CHEST- RADIATION INJURIES CLOSURES Female GRAFTS Humans MAN Methods Middle Aged N48510 -Life Sciences-Radiation Effects on Animals-Man NECROSIS- PLASTIC SURGERY Neoplasm Recurrence, Local Omentum - surgery OPENINGS PLEURA Radiation Injuries - surgery RADIOTHERAPY- SIDE EFFECTS SKIN Skin - radiation effects Skin Transplantation Thorax Transplantation, Autologous Ulcer - surgery |
title | Omental transposition in the treatment of radionecrosis |
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