[Omentoplasty and myoplasty on a fixed vascular pedicle in the treatment of complications in thoracic surgery].
A total of 37 patients with postoperative chronic osteomyelitis of the sternum and ribs which had developed after various operations on chest organs and 22 patients with residual pleural empyema developed after various lung operations were followed up. In patients from the both groups the first step, a thorough sanitation of infection foci, was performed; resection of diseased segments of the sternum and ribs in sternal and costal osteomyelitis and sanitation of the residual pleural cavity in residual pleural empyema. The second step was that defect of the anterior surface of the chest, which had developed after sternal and costal resection, was eliminated in the first group of patients as well as residual pleural cavity and bronchial fistula were removed in the second group. In the two groups, the following tissues were used as a plastic material: a greater omental flap (n = 27), the musculus rectus abdominis (n = 7), and musculus pectoralis major (n = 3) in Group 1, a greater omental flap (n = 8), the musculus pectoralis major (n = 9) and musculus latissimus dorsi (n = 5) in Group 2. In Group 1 a good therapeutical result was noted in 34 (91.1%) patients, a satisfactory one in 2 (6.2%). One (2.7%) patient died. It is concluded, that displacement of tissues on the fixed vascular pedicle is a valid method for eliminating tissue deficit in thoracic surgery.
Vishnevskiĭ
A A
AA
Golovteev
V V
VV
Aliev
T R
TR
Gaganov
A L
AL
D000328:Adult; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery; D002908:Chronic Disease; D016724:Empyema, Pleural / Q000209:etiology / Q000601:surgery; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000098:blood supply / Q000637:transplantation; D010019:Osteomyelitis / Q000209:etiology / Q000601:surgery*; D010369:Pectoralis Muscles / Q000098:blood supply / Q000637:transplantation; D010995:Pleural Diseases / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D017568:Rectus Abdominis / Q000098:blood supply / Q000637:transplantation; D013524:Surgical Flaps / Q000379:methods*; D013903:Thoracic Surgery