典型文献
An innovative technique of chest wall stabilization and reconstruction in traumatic flail chest: The figure-of-eight suture with polypropylene mesh and musculofascial flap
文献摘要：
Surgical stabilization of the flail chest is challenging and has no established guidelines. Chest wall integrity and stability are the main factors that ensure the protection of intrathoracic organs and an adequate respiratory function. Here, we report a novel chest wall reconstruction technique in a 45-year-old man with a traumatic left flail chest and open pneumothorax diagnosed both clinically and radiographically. Rib approximation and chest wall reconstruction was done using intercostal figure-of-eight suture and polypropylene mesh with vascularized musculofascial flap. The patient improved gradually and was discharged after three weeks of total hospital stay. He returned to regular working after a month with no evidence of respiratory distress or paradoxical chest movement. Follow-up visit at one year revealed no lung hernia or paradoxical chest movement. This is a novel, feasible and cost-effective modification of chest wall reconstruction that can be adopted for thoracic wall repair in case of open flail chest, which needs emergency surgical interventions even in resource constraint settings.
文献关键词：
Flail chest;Open pneumothorax;Polypropylene mesh;Figure-of-eight suture;Chest wall reconstruction
中图分类号：
作者姓名：
Dantis Klein;Brahmachari Swagata;Raju Aghosh;Shankari Suprabha
作者机构：
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Raipur, India;Department of General Surgery, All India Institute of Medical Sciences, Bhopal, India
文献出处：
引用格式：
[1]Dantis Klein;Brahmachari Swagata;Raju Aghosh;Shankari Suprabha-.An innovative technique of chest wall stabilization and reconstruction in traumatic flail chest: The figure-of-eight suture with polypropylene mesh and musculofascial flap)[J].中华创伤杂志（英文版）,2022(02):122-124
A类：
flail,musculofascial,intrathoracic,radiographically,Flail
B类：
An,innovative,technique,chest,wall,stabilization,reconstruction,traumatic,figure,eight,suture,polypropylene,mesh,flap,Surgical,challenging,has,established,guidelines,Chest,integrity,stability,are,main,factors,that,ensure,protection,organs,adequate,respiratory,function,Here,report,novel,year,old,man,left,open,pneumothorax,diagnosed,both,clinically,Rib,approximation,was,done,using,intercostal,vascularized,patient,improved,gradually,discharged,after,three,weeks,total,hospital,stay,returned,regular,working,month,evidence,distress,paradoxical,movement,Follow,up,visit,revealed,lung,hernia,This,feasible,effective,modification,can,be,adopted,repair,case,which,needs,emergency,surgical,interventions,even,resource,constraint,settings,Open,Polypropylene,Figure
AB值：
0.522648
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