A comparative evaluation of intrathoracic latissimus dorsi and serratus anterior muscle transposition✩

Autor: Matthias Widmer, Didier Lardinois, Thorsten Krueger, Andrej Banic, Hans-Beat Ris
Rok vydání: 2000
Předmět:
Adult
Male
Mesothelioma
Pulmonary and Respiratory Medicine
Thorax
medicine.medical_specialty
Lung Neoplasms
Serratus anterior muscle
medicine.medical_treatment
610 Medicine & health
Surgical Flaps
Carcinoma
Non-Small-Cell Lung
medicine
Humans
Aged
Bronchial Fistula/surgery
Carcinoma
Non-Small-Cell Lung/surgery
Debridement
Empyema
Pleural/surgery
Female
Lung Neoplasms/surgery
Mediastinum/surgery
Mesothelioma/surgery
Middle Aged
Muscle
Skeletal/transplantation
Pneumonectomy
Prospective Studies
Suture Techniques
Treatment Outcome
Muscle
Skeletal
Winged scapula
Empyema
Pleural
Neoadjuvant therapy
business.industry
Latissimus dorsi muscle
Mediastinum
General Medicine
medicine.disease
Surgery
medicine.anatomical_structure
Cardiothoracic surgery
Shoulder girdle
Bronchial Fistula
Cardiology and Cardiovascular Medicine
business
Zdroj: European Journal of Cardio-Thoracic Surgery, vol. 18, no. 4, pp. 435-439
Widmer, Matthias Kurt; Krueger, Thorsten; Lardinois, Didier; Banic, Andrej; Ris, Hans Beat (2000). A comparative evaluation of intrathoracic latissimus dorsi and serratus anterior muscle transposition. European journal of cardio-thoracic surgery, 18(4), pp. 435-439. Elsevier Science B.V. 10.1016/S1010-7940(00)00538-8
ISSN: 1873-734X
1010-7940
Popis: Background: Comparison of intrathoracic latissimus dorsi (LD) versus serratus anterior (SA) muscle transposition for treatment of infected spaces, broncho-pleural fistulae, and for prophylactic reinforcement of the mediastinum after extended resections following induction therapy. Patients and methods: Twenty LD and 17 SA transfers were performed for prophylactic reinforcement (11 LD; nine SA), and treatment of infections (nine LD; eight SA) from 1995 to 1998. Results: The 30-day mortality was 0% following prophylactic reinforcement and 29% following treatment of infections (three LD; two SA). Prophylactic mediastinal reinforcement was successful in 11 of 11 patients with LD and nine of nine with SA transpositions, and treatment of infected spaces in eight of nine patients with LD and two of three with SA transfers. Morbidity requiring re-intervention consisted of flap necrosis (one LD), bleeding (one SA), and skin necrosis over a winged scapula (one SA). Subcutaneous seromas and chest wall complaints were more frequent following LD (45 and 36%, respectively) compared with SA transfers (29 and 27%, respectively), whereas impaired shoulder girdle function was more frequent after SA than after LD transfer (27 vs. 21%). Conclusion: Intrathoracic LD and SA muscle transpositions are both efficient for the prevention or control of infections following complex thoracic surgery, and are both associated with similar and acceptable morbidity and long-term sequelae. q 2000 Elsevier Science B.V. All rights reserved.
Databáze: OpenAIRE
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