Introduction: Chest wall defects could be encountered after chest wall resection for chest wall tumors or resection of pleural or pulmonary tumors invading chest wall. Moreover, they could result from chest trauma. Chest wall reconstruction can be difficult and challenging for the thoracic surgeon. Different techniques and materials were introduced to carry out reconstruction of chest wall defects. Synthetic materials have been associated with some disadvantages. Fascia lata harvested from the thigh of the patient could replace the synthetic materials for chest wall reconstruction therefore avoiding their disadvantages. Aim: The aim of this study was to determine the efficacy and outcome of the use of fascia lata in the reconstruction of chest wall defects. Patients and methods: Retrospective revision of the files of the patients who underwent chest wall reconstruction for chest wall defects using fascia lata at Cardiothoracic Surgery Department at Alexandria University, Egypt during the period (January 2003- December 2008) was done. Results: Ninety patients (13 males and 6 females) underwent chest wall reconstruction of chest wall defects using fascia lata. Age ranged between 22-75 (49.7±13.7) years. The diameter of chest wall defects was between 5-17 cm. The time range for harvesting fascia lata was 14-20 (15.8±2.6) minutes. Average of postoperative hospital stay was 12±13.1 days. The complication that was encountered at site of harvesting of fascia lata was seroma formation that needed to be aspirated (10.5%). Stability was achieved in 78.9% of patients while small segment of paradoxical movement were encountered in 21.1%. Conclusion: In conclusion, reconstruction of chest wall defects using free graft of fascia lata was found to be safe with low rate of complications. It avoids the risk of infection that encountered with the use of synthetic materials. The stability provided to the chest wall after reconstruction with fascia lata was found to be dependent on the size and site of the chest wall defect. Moreover, it was found that fascia lata could provide acceptable stability for reconstructed chest wall defects that is more pronounced few weeks later following surgery.
| Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 1, Issue 1) |
| DOI | 10.11648/j.ijcts.20150101.13 |
| Page(s) | 9-12 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2015. Published by Science Publishing Group |
Fascia Lata, Chest Wall Defects, Chest Wall Reconstruction
| [1] | Murakawa T, Nakajima J, Maeda K, Tanaka M, Takamoto S. Reappraisal of fascia lata grafts for reconstruction of chest wall defects. Asian cardiovascular & thoracic annals. 2002;10(3):285. |
| [2] | Deschamps C, Tirnaksiz BM, Darbandi R, Trastek VF, Allen MS, Miller DL, et al. Early and long-term results of prosthetic chest wall reconstruction. The Journal of thoracic and cardiovascular surgery. 1999; 117(3):588-92. |
| [3] | Arnold PG, Pairolero PC. Chest-wall reconstruction: an account of 500 consecutive patients. Plastic and reconstructive surgery. 1996; 98(5):804-10. |
| [4] | Watson WL, James AG. Fascia lata grafts for chest wall defects. The Journal of thoracic surgery. 1947; 16(4):399. |
| [5] | Kageyama Y, Suzuki K, Matsushita K, Nogimura H, Kazui T. Pericardial closure using fascia lata in patients undergoing pneumonectomy with pericardiectomy. The Annals of thoracic surgery. 1998; 66(2):586-7. |
| [6] | Savant DN, Patel SC, Bokil KP, Bhathena HM, Kavarana NM, Vyas JJ. Reconstruction of chest wall defects following extirpative surgery. Journal of surgical oncology. 1994; 55(3):186-9. |
| [7] | Rifaat MA, Abdel Gawad WS. The use of tensor fascia lata pedicled flap in reconstructing full thickness abdominal wall defects and groin defects following tumor ablation. J Egypt Natl Canc Inst. 2005; 17(3):139-48. |
| [8] | Laedrach K, Lukes A, Raveh J. Reconstruction of skull base and fronto-orbital defects following tumor resection. Skull Base. 2007; 17(1):59. |
| [9] | Graham J, Usher FC, Perry JL, Barkley HT. Marlex mesh as prosthesis in the repair of thoracic wall defects. Annals of Surgery. 1960;151(4):469. |
| [10] | Puviani L, Fazio N, Boriani L, Ruggieri P, Fornasari PM, Briccoli A. Reconstruction with fascia lata after extensive chest wall resection: results. Eur J Cardiothorac Surg 2013; 44 (1):125-9. |
APA Style
Walid Abu Arab, Ibrahim Khadragi. (2015). The Use of Fascia Lata in the Reconstruction of Chest Wall Defects: Is It Effective. International Journal of Cardiovascular and Thoracic Surgery, 1(1), 9-12. https://doi.org/10.11648/j.ijcts.20150101.13
ACS Style
Walid Abu Arab; Ibrahim Khadragi. The Use of Fascia Lata in the Reconstruction of Chest Wall Defects: Is It Effective. Int. J. Cardiovasc. Thorac. Surg. 2015, 1(1), 9-12. doi: 10.11648/j.ijcts.20150101.13
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijcts.20150101.13,
author = {Walid Abu Arab and Ibrahim Khadragi},
title = {The Use of Fascia Lata in the Reconstruction of Chest Wall Defects: Is It Effective},
journal = {International Journal of Cardiovascular and Thoracic Surgery},
volume = {1},
number = {1},
pages = {9-12},
doi = {10.11648/j.ijcts.20150101.13},
url = {https://doi.org/10.11648/j.ijcts.20150101.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20150101.13},
abstract = {Introduction: Chest wall defects could be encountered after chest wall resection for chest wall tumors or resection of pleural or pulmonary tumors invading chest wall. Moreover, they could result from chest trauma. Chest wall reconstruction can be difficult and challenging for the thoracic surgeon. Different techniques and materials were introduced to carry out reconstruction of chest wall defects. Synthetic materials have been associated with some disadvantages. Fascia lata harvested from the thigh of the patient could replace the synthetic materials for chest wall reconstruction therefore avoiding their disadvantages. Aim: The aim of this study was to determine the efficacy and outcome of the use of fascia lata in the reconstruction of chest wall defects. Patients and methods: Retrospective revision of the files of the patients who underwent chest wall reconstruction for chest wall defects using fascia lata at Cardiothoracic Surgery Department at Alexandria University, Egypt during the period (January 2003- December 2008) was done. Results: Ninety patients (13 males and 6 females) underwent chest wall reconstruction of chest wall defects using fascia lata. Age ranged between 22-75 (49.7±13.7) years. The diameter of chest wall defects was between 5-17 cm. The time range for harvesting fascia lata was 14-20 (15.8±2.6) minutes. Average of postoperative hospital stay was 12±13.1 days. The complication that was encountered at site of harvesting of fascia lata was seroma formation that needed to be aspirated (10.5%). Stability was achieved in 78.9% of patients while small segment of paradoxical movement were encountered in 21.1%. Conclusion: In conclusion, reconstruction of chest wall defects using free graft of fascia lata was found to be safe with low rate of complications. It avoids the risk of infection that encountered with the use of synthetic materials. The stability provided to the chest wall after reconstruction with fascia lata was found to be dependent on the size and site of the chest wall defect. Moreover, it was found that fascia lata could provide acceptable stability for reconstructed chest wall defects that is more pronounced few weeks later following surgery.},
year = {2015}
}
TY - JOUR T1 - The Use of Fascia Lata in the Reconstruction of Chest Wall Defects: Is It Effective AU - Walid Abu Arab AU - Ibrahim Khadragi Y1 - 2015/07/01 PY - 2015 N1 - https://doi.org/10.11648/j.ijcts.20150101.13 DO - 10.11648/j.ijcts.20150101.13 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 9 EP - 12 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20150101.13 AB - Introduction: Chest wall defects could be encountered after chest wall resection for chest wall tumors or resection of pleural or pulmonary tumors invading chest wall. Moreover, they could result from chest trauma. Chest wall reconstruction can be difficult and challenging for the thoracic surgeon. Different techniques and materials were introduced to carry out reconstruction of chest wall defects. Synthetic materials have been associated with some disadvantages. Fascia lata harvested from the thigh of the patient could replace the synthetic materials for chest wall reconstruction therefore avoiding their disadvantages. Aim: The aim of this study was to determine the efficacy and outcome of the use of fascia lata in the reconstruction of chest wall defects. Patients and methods: Retrospective revision of the files of the patients who underwent chest wall reconstruction for chest wall defects using fascia lata at Cardiothoracic Surgery Department at Alexandria University, Egypt during the period (January 2003- December 2008) was done. Results: Ninety patients (13 males and 6 females) underwent chest wall reconstruction of chest wall defects using fascia lata. Age ranged between 22-75 (49.7±13.7) years. The diameter of chest wall defects was between 5-17 cm. The time range for harvesting fascia lata was 14-20 (15.8±2.6) minutes. Average of postoperative hospital stay was 12±13.1 days. The complication that was encountered at site of harvesting of fascia lata was seroma formation that needed to be aspirated (10.5%). Stability was achieved in 78.9% of patients while small segment of paradoxical movement were encountered in 21.1%. Conclusion: In conclusion, reconstruction of chest wall defects using free graft of fascia lata was found to be safe with low rate of complications. It avoids the risk of infection that encountered with the use of synthetic materials. The stability provided to the chest wall after reconstruction with fascia lata was found to be dependent on the size and site of the chest wall defect. Moreover, it was found that fascia lata could provide acceptable stability for reconstructed chest wall defects that is more pronounced few weeks later following surgery. VL - 1 IS - 1 ER -
Information
Email: