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
Hauptverfasser: Cort, David F., Collis, J. Leigh
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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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identifier ISSN: 0007-1323
ispartof Brit. J. Surg., v. 60, no. 7, pp. 580-582, 1973-07, Vol.60 (7), p.580-582
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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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