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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
Authors:Steven T Lanier   Meredith Wetterau   Eduardo Smith-Singares   Thomas Bilfinger   James Vosswinkel   Marc J Shapiro   Alexander B Dagum
Affiliation:1School of Medicine, Stony Brook University Medical Center, Stony Brook;2Department of Surgery, New York University Medical Center, New York;3Department of Surgery, Division of Trauma and Surgical Critical Care, Stony Brook, New York, USA;4Department of Surgery, Division of Cardiothoracic Surgery, Stony Brook, New York, USA;5Department of Surgery, Division of Plastic and Reconstructive Surgery, Stony Brook, New York, USA
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.
Keywords:Flail chest   Pectoralis major myocutaneous flap   Pulmonary herniation
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