An innovative technique of chest wall stabilization and reconstruction in traumatic flail chest: The figure-of-eight suture with polypropylene mesh and musculofascial flap

• 作者: Dantis Klein Brahmachari Swagata Raju Aghosh Shankari Suprabha
• 来源期刊: 中华创伤杂志英文版
• 关键词: Flail chest Open pneumothorax Polypropylene mesh Figure-of-eight suture Chest wall reconstruction
• 年，卷（期）: 2022,（2）
• 所属期刊栏目: Case Report
• 页码范围: 122-124
• 页数: 3页
• 语种: 中文
• DOI: 10.1016/j.cjtee.2021.04.009

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.