title: Successful management of oesophageal conduit necrosis by a single-stage reconstruction with the pedicled pectoralis major myocutaneous flap.
abstract: Conduit necrosis is a rare but potentially devastating complication of oesophageal surgery and the subsequent reversal of oesophageal discontinuity can be challenging. An option for both cervical-oesophageal reconstruction and neck wound closure has been limited and less successful. We report a patient with colon conduit necrosis and cervical-oesophageal discontinuity whose cervial oesophagus was successfully reconstructed with a single-stage pedicled pectoralis major myocutaneous flap and neck wound closure.
authors: Shanghai Medical College, Fudan University, Shanghai, China.
authors: Kanhua
authors: K
authors: Yin
authors: Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors: Haisong
authors: H
authors: Xu
authors: Section of General Thoracic Surgery, University of California, Davis Medical Center, Sacramento, USA.
authors: David T
authors: DT
authors: Cooke
authors: Division of Plastic Surgery, University of California, Davis Medical Center, Sacramento, USA lee.pu@ucdmc.ucdavis.edu.
authors: Lee L Q
authors: LL
authors: Pu
mesh_terms: D002057:Burns, Chemical / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D002424:Caustics / Q000009:adverse effects; D003106:Colon / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy; D004947:Esophagus / Q000187:drug effects / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008191:Lye / Q000009:adverse effects; D008875:Middle Aged; D064827:Myocutaneous Flap; D009336:Necrosis; D010369:Pectoralis Muscles / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012086:Reoperation; D013406:Suicide, Attempted; D016896:Treatment Outcome; D058106:Wound Closure Techniques
chemical_list: D002424:Caustics; D008191:Lye
keywords: Complication; Conduit necrosis; Oesophagus; Pectoralis major myocutaneous flap