Resection. Video from “Multidisciplinary oncoplastic approach reduces infection in chest wall resection and reconstruction for malignant chest wall tumours”
See video demonstrating the preoperative planning and design for resection of chondrosarcoma left costal margin by the thoracic oncoplastic team. The options for potential soft tissue reconstruction either using Lattissmus dorsi or vertical rectus myocutaneous flap (VRAM) are outlined. During enbloc resection of the tumour the reconstructive surgeon is assessing the proximity of the resection margins to the left superior epigastric vessels which could be potentially used as main blood supply for the left VRAM if integrity was preserved. This was followed by skeletal reconstruction using STRATOS bars and Polyprolene mesh by the thoracic surgeons. Assessing of the resultant defect was performed to determine the extent of the required skin paddle. Harvesting and insetting of the VRAM flap with primary closure. From “Multidisciplinary oncoplastic approach reduces infection in chest wall resection and reconstruction for malignant chest wall tumours” in the July 2016 issue of PRS Global Open.
Haitham H Khalil
Plastic and Reconstructive Surgery – Global Open. 4(7):e809, July 2016 July 2016, Volume 4, Issue 7;