Robotically-harvested,thoracoscopically-tunneled transdiaphragmatic omental pedicle flap for obliteration of radiated empyema cavity
摘要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 vacuum-assisted 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.
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