A comparative evaluation of intrathoracic latissimus dorsi and serratus anterior muscle transposition✩
Autor: | Matthias Widmer, Didier Lardinois, Thorsten Krueger, Andrej Banic, Hans-Beat Ris |
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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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