[Repair of defects in chest wall with thoracico-abdominal skin flap and muscle flap of musculus rectus abdominis].
OBJECTIVE
To evaluate the application value of repairing the defects of the chest wall with the thoracico-abdominal skin flap and the muscle flap of the musculus rectus abdominis.


METHODS
From January 2002 to June 2005, five patients with defects in the chest wall underwent the prosthesis with the thoracico-abdominal skin flap and the muscle flap of the musculus rectus abdominis under general anesthesia. Focal cleaning was performed first; then, the skin flap was designed and taken (15 cm x 10 cm); and finally, the defects of the chest wall were repaired with the muscle flap of the musculus rectus abdominis.


RESULTS
Of the 5 patients, 4 had the flap healing by the first intention, and 1 had the delayed healing, with no complication. The skin flap had a good appearance, without edema or pigmentation. The X-ray examination showed that the shadow of the sternal sequestrum disappeared. There was no recurrence or complication during the follow-up for 1-3 years (average, 18 mon).


CONCLUSIONS
The repairing of the defects in the chest wall with the thoracico-abdominal skin flap and the muscle flap of the musculus rectus abdominis is a simple and effective surgical treatment for defects of the chest wall around the sternum, and this kind of treatment is worth applying extensively in clinical practice.
Zhu
Mingha
M
Orthopedic Institute, Luoyang Orthopedic Hospital, Luoyang Henan, 471002, PR China. zhuminghai@china.com.cn
Liang
Guohui
G
Zhang
Ying
Y
D034861:Abdominal Wall / Q000601:surgery; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017568:Rectus Abdominis / Q000637:transplantation*; D016038:Skin Transplantation; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D035441:Thoracic Wall / Q000601:surgery