The Best of Chest Wall Reconstruction: Principles and Clinical Application for Complex Oncologic and Sternal Defects | Journal CME Article-Journal CME Article: The Best of Chest Wall Reconstruction: Principles and Clinical Application for Complex Oncologic and Sternal Defects V2

Journal CME Article: The Best of Chest Wall Reconstruction: Principles and Clinical Application for Complex Oncologic and Sternal Defects V2

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Video Summary

This video discusses a complex reconstructive surgery following a four-quarter amputation due to locally advanced myosarcoma in the shoulder area, involving the resection of the upper extremity, including the scapula, lateral clavicle, upper ribs, and chest wall musculature. The procedure requires wide exposure to manage subclavian and axillary vessels and protect nerve structures. Reconstructive aims include stabilizing the thoracic structure and protecting neurovascular elements using semi-rigid mesh and vascularized soft tissue. Techniques involve using flaps from the amputated limb and abdominal tissue. The goal is to achieve primary wound healing with minimal additional morbidity.

Keywords

reconstructive surgery

myosarcoma

thoracic stabilization

vascularized soft tissue

flap techniques