title: Management of pulmonary hernia through a flail segment in closed thoracic trauma using open reduction, internal fixation and pectoralis major flap reconstruction: A case report.
abstract: The present article reports on the successful management of a large flail chest with traumatic pulmonary herniation in a patient who could not be weaned from mechanical ventilation following a course of conservative management. Surgical intervention involved open reduction and internal fixation with tubular plates to stabilize the flail segment, followed by a pectoralis major myocutaneous flap to repair the chest wall defect. Following surgical intervention, the patient was able to be weaned from mechanical ventilation and showed remarkable improvement in pulmonary function parameters. To the authors' knowledge, the present report is the first to describe the use of open reduction and internal fixation of the chest wall and flap reconstruction to treat lung herniation with a flail chest segment.
authors.affiliation: School of Medicine, Stony Brook University Medical Center, Stony Brook.
authors.forename: Steven T
authors.initials: ST
authors.lastname: Lanier
authors.forename: Meredith
authors.initials: M
authors.lastname: Wetterau
authors.forename: Eduardo
authors.initials: E
authors.lastname: Smith-Singares
authors.forename: Thomas
authors.initials: T
authors.lastname: Bilfinger
authors.forename: James
authors.initials: J
authors.lastname: Vosswinkel
authors.forename: Marc J
authors.initials: MJ
authors.lastname: Shapiro
authors.forename: Alexander B
authors.initials: AB
authors.lastname: Dagum