De l'utilisation raisonnée des transferts intrathoraciques. Bases anatomiques et chirurgicales pour la sélection de 12 différents lambeaux musculaires et omentaux.
(2003) Annales de Chirurgie Plastique Esthetique — Vol. 48, n° 2, p. 99-114 (2003)
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- Because of their rich blood supply and of their original detersive and filling properties, the muscular pedicled flaps harvested from the trunk or the omental flap elevated from the abdomen may be very usefull to treat large defects or major septic problems in pleural, pericardic or mediastinal cavities. We here describe the main principles to be followed in such intrathoracic reconstructions performed in order to control severe mediastinites, aortic prosthetic infections, pleural empyemas and broncho-pleural, tracheo-esophageal or broncho-esophageal fistulas. In all these circumstances, the muscular or omental flaps which are transferred into the chest are selected according to the recipient field and to their respective access to the upper, middle and lower portions of the pleural space or mediastinum. Twelve different flaps so appear available to achieve the adequate reconstruction, filling or coverage of nine distinct topographic sites. Their rational use, based on various anatomical guidelines, allows to prevent or to cure efficiently 90% of the infectious or fistular complications frequently observed in the postoperative course of aggressive, functional or oncological, intrathoracic surgical procedures.
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Lengelé, B., Poncelet, A., Meunier, D., Elias, B., El Fouly, P., Willemart, G., & Noirhomme, P. (2003). De l’utilisation raisonnée des transferts intrathoraciques. Bases anatomiques et chirurgicales pour la sélection de 12 différents lambeaux musculaires et omentaux. Annales de Chirurgie Plastique Esthetique, 48(2), 99-114. https://doi.org/10.1016/S0294-1260(03)00013-X (Original work published 2003)