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J Surg Oncol 2019 Mar 18. Epub 2019 Mar 18.

Department of Pathology, Barretos Cancer Hospital, Barretos, Brazil.

Ann Plast Surg 2019 Mar 13. Epub 2019 Mar 13.

Division of General Surgery, Department of Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi, Taiwan.

We report a rare case that after rapid recurrence there was pathological transition from a fibroadenoma and benign phyllodes tumor to borderline and malignant phyllodes tumor. Another rare finding included tumor dissemination in the pleural cavity via reconstructed deep inferior epigastric perforator flap edge and internal mammary vessel bundle. Hence, we eliminated the use of internal mammary vessel bundle as the recipient vessel for free-flap reconstruction to avoid recurrence in the pleural cavity. Read More

Plast Reconstr Surg Glob Open 2019 Feb 11;7(2):e2154. Epub 2019 Feb 11.

Georgia Breast Surgery, PC, Lawrenceville, Ga.

Postmastectomy reconstruction in patients with significant macromastia and/or large chest wall dimensions can be challenging. Implants have a limited size range and may not be large enough to adequately reconstruct a wide, obese patient. Abdominally based flaps may be unsafe in these patients if they have significant obesity and or other comorbidities and may still be insufficient to adequately fill a very large breast footprint. Read More

Plast Reconstr Surg Glob Open 2018 Nov 7;6(11):e1985. Epub 2018 Nov 7.

Plastic and Reconstructive Surgery, University of Ljubljana, Ljubljana, Slovenia, EU.

Background: Breast numbness is a recognized problem following mastectomy and subsequent reconstruction. Contemporary literature acknowledges the positive role of breast neurotization, but it is characterized by a variety of technical approaches and substantial heterogeneity with respect to the degree of recovered sensibility that remains suboptimal in comparison with other sensory nerve reconstructions. This study's purpose was to provide an anatomical basis for observed inconsistencies and therein provide a principle that can be used to develop a technical approach that will optimize sensory recovery. Read More

Plast Reconstr Surg Glob Open 2018 Nov 1;6(11):e1968. Epub 2018 Nov 1.

Department of Plastic and Reconstructive Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain.

DIEP flap is considered the gold standard technique for breast reconstruction. One of the most frequent contour deformities after breast reconstruction with DIEP flap is a step-off deformity at the interface between the native chest wall and the reconstructed breast. Different techniques have been used to address this problem. Read More

Plast Reconstr Surg Glob Open 2018 Nov 1;6(11):e1950. Epub 2018 Nov 1.

Department of Plastic and Reconstructive Surgery, Cancer Institute Hospital, Tokyo, Japan.

A 2-stage breast reconstruction using a breast tissue expander and prosthesis is a simple method of breast reconstruction with little donor-site morbidity and short surgery time. In this report, we present a rare case of chest wall deformity, which appeared during breast skin expansion with tissue expander. We present a case of a 31-year-old woman who underwent a 2-stage breast reconstruction with a tissue expander and breast prosthesis. Read More

Aesthetic Plast Surg 2019 Mar 14. Epub 2019 Mar 14.

Department of Aesthetic and Reconstructive Breast Surgery, Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, No. 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Background: Breast hypoplasia or amastia with pectoralis major muscle defect in female Poland syndrome patients always necessitates surgical intervention. This study aims to introduce an efficient endoscopic technique to perform breast reconstruction in Poland syndrome patients with a latissimus dorsi myo flap and an implant using a single transverse axillary incision (ELDM + IMPLANT) and to evaluate its safety and effectiveness.

Methods: A prospective study was designed to recruit Poland syndrome candidates for ELDM + IMPLANT breast reconstruction. Read More

Oncol Lett 2019 Mar 31;17(3):3446-3456. Epub 2019 Jan 31.

Department of Orthopedic Surgery, Aichi Cancer Center Hospital, Nagoya, Aichi 464-8681, Japan.

Postoperative complications of thoracic wall resection include respiratory complications, skin necrosis and infection. The aim of the present study was to examine postoperative complications in patients who required combined thoracic wall resection during the surgical removal of a tumor. The present study included 68 patients; there were 50 patients with lung tumors and 18 patients with musculoskeletal tumors. Read More

Microsurgery 2019 Mar 4. Epub 2019 Mar 4.

Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, South Korea.

Background: The internal mammary artery (IMA) perforator has assumed recent prominence as recipient vessels in free autologous breast reconstruction. However, anatomical understanding is unclear, due to limited cadaver and clinical studies. We evaluated the usability of these vessels by evaluating perforator size, dominance, laterality, interspace location, and relationship with breast volume. Read More

Medicine (Baltimore) 2019 Feb;98(8):e14567

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai, China.

Radiation therapy can have adverse effects on normal tissue and cause chronic ulcers. The purpose of this study was to compare breast cancer patients who underwent single-stage reconstruction with patients who underwent 2-stage reconstruction for chronic radiation-induced necrotic ulcers of the chest wall.This retrospective study comprised of 50 patients with chronic radiation-induced chest wall ulcers who underwent chest wall reconstruction in our hospital between January 2002 and January 2016. Read More

J Plast Reconstr Aesthet Surg 2019 Feb 10. Epub 2019 Feb 10.

Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 33 Ba-Da-Chu Road, Beijing 100144, PR China. Electronic address:

Background: The medial arm flap has a long history but remains underused despite providing multiple advantages. We reviewed our experience with using the medial arm flap to clarify the distribution of septocutaneous perforators and its relationship with pedicled flap design.

Patients And Methods: This retrospective study included 36 consecutive patients who underwent reconstructive surgery with a medial arm flap (42 arms). Read More

Cancer Control 2019 Jan-Dec;26(1):1073274819827284

3 Department of Breast Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.

The purpose of this article is to review closure options for complex chest wounds in patients with locally advanced breast cancer. Experiences of the plastic and oncologic surgery teams at Moffitt Cancer Center were reviewed, and the literature researched for various surgical options of complex chest wound closure. Multiple treatment modalities exist for reconstruction of complex chest wall wounds with the external oblique and V-Y latissimus dorsi musculocutaneous advancement flaps serving as workhorses in reconstruction. Read More

Oxf Med Case Reports 2019 Feb 16;2019(2):omy130. Epub 2019 Feb 16.

San Juan City Hospital, Pulmonary and Critical Care Medicine Fellowship Program, San Juan, Puerto Rico.

Primary malignant tumours of the chest wall are among the rarest cartilaginous tumours. Chondrosarcomas present a difficult clinical problem due to its high resistance to conventional chemotherapy and radiotherapy. Complete surgical resection has been the cornerstone for treatment. Read More

Clin Breast Cancer 2019 Jan 31. Epub 2019 Jan 31.

Department of Breast Surgery, Oxford University Hospitals NHS Trust, Oxford, United Kingdom. Electronic address:

Introduction: Partial breast reconstruction (PBR) using chest wall perforator flaps (CWPF) allows for excision of tumors in the outer quadrant of the breast in women with small to moderate non-ptotic breasts resulting in a good aesthetic outcome. There are limited data available in the literature regarding long-term follow-up and the effect of CWPF on subsequent surveillance mammographic interpretation and recall rates. A retrospective audit with qualitative analysis of initial mammograms was performed to assess this. Read More

Plast Reconstr Surg 2019 Feb 13. Epub 2019 Feb 13.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania.

Purpose: Locoregional recurrence (LRR) of the previously reconstructed breast poses a diagnostic and operative challenge. This study examines detection, management, and reconstructive strategies of LRR following post-mastectomy breast reconstruction.

Methods: A retrospective review of records was performed on patients treated within the health system for breast cancer from January 2000 - July 2014. Read More

J Cardiothorac Surg 2019 Feb 12;14(1):36. Epub 2019 Feb 12.

Department of Chest Surgery, Fukushima Medical University School of Medicine, Fukushima, 960-1295, Japan.

Background: Extended sleeve lobectomy is rarely applied to pulmonary surgery for primary lung cancer to avoid a pneumonectomy. As there is a size discrepancy between main bronchus and peripheral bronchus, ingenuity to improve anastomosis is required in the bronchoplasty. We report herein a case in which successful reconstruction of extended sleeve lobectomy with bronchial wall flap. Read More

Thorac Cardiovasc Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Thoracic Surgery, Guy's and Saint Thomas' NHS Foundation Trust, London, London, United Kingdom of Great Britain and Northern Ireland.

Objectives:  Patients undergoing surgery for locally advanced lung cancer involving the chest wall require anatomical lung with extensive en-bloc chest wall resection and appropriate reconstruction.In this proof-of-concept study, we aimed to produce personalized three-dimensional (3D)-printed chest wall prosthesis for a patient undergoing chest wall resection and reconstruction using clinically obtained computed tomography (CT) data.

Methods:  Preoperative CT scans of three patients undergoing chest wall resection were analyzed and the areas of resection segmented. Read More

Asian J Endosc Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Thoracic Surgery, Tenri Hospital, Nara, Japan.

Chest wall resection is traditionally performed via open thoracotomy, a procedure that increases surgical morbidity and reduces postoperative quality of life. Conversely, thoracoscopic chest wall resection may minimize invasiveness but the optimal procedure remains uncertain. We previously reported rib resection using a pneumatic high-speed power drill during video-assisted thoracoscopic surgery for selected lung cancer patients. Read More

Breast J 2019 Mar 8;25(2):286-289. Epub 2019 Feb 8.

Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina.

To assess the impact of internal mammary (IM) vessels radiation dose on autologous free-flap based breast reconstruction outcomes. We retrospectively evaluated the medical records of breast cancer patients who underwent mastectomy and free-flap breast reconstruction after postoperative radiation therapy (RT) to the breast/chest wall with (n = 9) or without (n = 11) electively including the IM lymph nodes. Twenty patients were included. Read More

J Int Med Res 2019 Feb 7:300060518811486. Epub 2019 Feb 7.

2 Department of Orthopaedics, Chinese People's Liberation Army General Hospital (301 Hospital), Beijing, PR China.

Objective: This study was performed to investigate the correlation between pulmonary dysfunction patterns and diaphragmatic sagittal rotation in patients with ankylosing spondylitis accompanied by kyphosis.

Methods: Thirty patients (27 male, 3 female) with kyphotic deformity secondary to ankylosing spondylitis underwent pedicle subtraction osteotomy and were retrospectively reviewed. All patients had undergone preoperative computed tomography with three-dimensional reconstruction, full-length spine radiographs, and pulmonary function tests. Read More

BMC Surg 2019 Feb 2;19(1):14. Epub 2019 Feb 2.

Department of Plastic Surgery, National Defense Medical College, 3-2 Namiki Tokorozawa, Saitama, 359-0042, Japan.

Background: Chest wall necrosis can manifest as a late effect of radiation therapy for breast cancer. Only two cases of fistulas communicating with the respiratory tract as a result of radiation-induced necrosis of the lungs or bronchi have been reported. To the best of our knowledge, we report the first case of a pulmonary cutaneous fistula arising as a late effect of radiation therapy for breast cancer, which was successfully repaired using a free omental graft. Read More

BMC Surg 2019 Jan 31;19(1):13. Epub 2019 Jan 31.

Department of Thoracic Surgery, Iwate Prefectural Central Hospital, Ueda 1-4-1, Morioka, 020-0066, Japan.

Background: Angiolipoma is a rare, benign tumor that primarily develops in the limbs and trunk. The occurrence of angiolipoma in the lungs is extremely rare; to date, only two cases of primary bronchial angiolipoma have been reported. Here, we report a case of angiolipoma of the right bronchus intermedius that was successfully treated with sleeve resection and reconstructive surgery. Read More

PLoS One 2019 24;14(1):e0211097. Epub 2019 Jan 24.

Department of Radiology, Hallym University Medical Center, Hallym University Sacred Heart Hospital, Anyang-si, Gyeonggi-do, Republic of Korea.

Purpose: Objective of this study was to evaluate the effectiveness of the iterative reconstruction of high-pitch dual-source chest CT (IR-HP-CT) scanned with low radiation exposure compared with low dose chest CT (LDCT).

Materials And Methods: This study was approved by the institutional review board. Thirty healthy adult volunteers (mean age 44 years) were enrolled in this study. Read More

J Med Case Rep 2019 Jan 23;13(1):19. Epub 2019 Jan 23.

Department of Physiotherapy and Rehabilitation, Istanbul Gelısım University, Istanbul, Turkey.

Introduction: Masses which develop on the surface of the rib bones are rare. The differential diagnosis includes benign and malignant lesions.

Case Presentation: A 23-year-old European woman presented at an out-patient clinic with a 9-month history of a painless swelling on the right posterolateral side of her chest wall. Read More

Plast Reconstr Surg Glob Open 2018 Dec 12;6(12):e2005. Epub 2018 Dec 12.

Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, D.C.

Human acellular dermal matrix (ADM) can augment prepectoral prosthetic-based direct-to-implant breast reconstruction by providing an additional soft-tissue layer between breast implant and skin, as well as to reinforce the inframammary fold and breast pocket. Utilizing ADM in this way has helped reduce rates of implant rippling, capsular contracture, and implant extrusion. Difficulty in securing ADM-wrapped implants has caused many surgeons to improvise techniques for secure implantation. Read More

Ann Plast Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of Plastic, Reconstructive & Hand Surgery, Maastricht University Medical Centre, Maastricht, the Netherlands.

The deep inferior epigastric artery perforator (DIEP) flap is one of the most used free flaps for the reconstruction of the breast after a mastectomy. Despite careful selection of the patients and preoperative imaging, difficulties in vascularization of the flap can occur in some cases. Although multiple vascular connections (bipedicled, turbocharged, or stacked) can be made in selected cases, there can still be venous congestion before the flap is transferred. Read More

J Pak Med Assoc 2019 Jan;69(1):120-122

Istanbul University, Istanbul, Turkey.

A chondrosarcoma is a rare bone tumour derived from cartilage-producing malignant mesenchymal cells. A 25- year-old male patient was operated upon to treat a chondrosarcoma arising in the left 2nd and 6th ribs. The tumour underwent en bloc wide resection in collaboration with a plastic surgeon for reconstruction of the resected area. Read More

JSLS 2018 Oct-Dec;22(4)

Department of Surgery, Oklahoma State University, Comanche County Memorial Hospital, Lawton, Oklahoma, USA.

Background And Objectives: Biologic and resorbable synthetic materials are used commonly for crural repair reinforcement during laparoscopic hiatal herniorrhaphy. Recently, an ovine polymer-reinforced bioscaffold (OPRBS) has been developed for reinforcement of abdominal wall and hiatal herniorrhaphies. This is the first reported series on use of OPRBS in hiatal hernia repairs. Read More

Breast Cancer 2019 Jan 2. Epub 2019 Jan 2.

Department of Oral and Maxillofacial Surgery, and Plastic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa-machi, Maebashi, Gunma, 371-8511, Japan.

Background: Chest wall deformity after tissue expansion for breast reconstruction is less recognized than complications such as infection, hematoma, skin necrosis and capsular contracture. However, the condition should not be discounted because pain, rib fracture and dyspnea may occur in severe cases. The aim of this study is to evaluate the extent of chest wall deformity quantitatively using computed tomography (CT) and to identify risk factors for this condition after tissue expansion. Read More

J Am Coll Clin Wound Spec 2017 1;9(1-3):10-13. Epub 2018 Jun 1.

IRCCS Istituto Ortopedico Galeazzi - Università degli Studi di Milano, Plastic Surgery Department, Via Galeazzi 4, 20161 Milan, Italy.

The perimammary zone is a critical area for healing, due to high incidence of dehiscences, expecially sternal ones. Although deep sternal wound complications are nowadays less common after cardiac surgery, in some at risk patients, dehiscences still represent important complications of major cardiac or vascular surgeries and they are directly correlated to an increased risk of patient's morbidity and mortality. A heavy breast represents a source of tension on the perimammary wound, inhibiting or delaying a complete recovery. Read More

Plast Reconstr Surg 2019 Mar;143(3):667-677

Detroit, Mich.; Tampa, Fla.; Durham, N.C.; and New York, N.Y. From the Division of Plastic Surgery, Department of Surgery, Henry Ford Health System; the Division of Plastic Surgery, Department of Surgery, Morsani College of Medicine, University of South Florida; the Department of Biostatistics, Department of Surgery, Duke University; and Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center.

Background: This study aimed to identify differences in patient-reported abdominal well-being, satisfaction, and quality of life in women with muscle-preserving free abdominal versus pedicle transverse rectus abdominis musculocutaneous (TRAM) flap for breast reconstruction.

Methods: Women with a history of breast cancer surgery were recruited from the Army of Women foundation to take the BREAST-Q and a background questionnaire. Descriptive statistics and regression analyses were used to compare abdominal physical well-being, breast satisfaction, chest physical, psychosocial well-being, and sexual well-being in women undergoing free versus pedicle TRAM flaps. Read More

Laryngoscope 2019 Apr 23;129(4):812-817. Epub 2018 Dec 23.

Division of Otolaryngology-Head and Neck Surgery, Seattle Children's Hospital, Seattle, Washington, U.S.A.

Fibrodysplasia ossificans progressiva (FOP) is a rare disorder that causes heterotopic bone formation leading to chest wall and spinal deformities. This case describes an 11-year-old female with FOP who presented in respiratory failure necessitating two emergent fiberoptic nasotracheal intubations. The patient had severe trismus, rotary flexion of the neck, and distortion of the airway. Read More

J Cardiothorac Surg 2018 Dec 17;13(1):127. Epub 2018 Dec 17.

Department of Cardiothoracic And Vascular Surgery, UT Health at McGovern Medical School, Houston, USA.

Background: Chest wall sarcomas are a rare group of soft tissue malignancies with variable presentations. Here we describe the definitive management of a large, rapidly progressing chest wall sarcoma arising from the pectoralis major muscle.

Case Report: An obese 42-year-old African American male with multiple medical comorbidities presented with new onset right-sided chest pain and a palpable right chest mass. Read More

Ann Plast Surg 2019 Apr;82(4):375-381

Surgical Oncology, Department of Surgery, University of Massachusetts Medical School, Worcester, MA.

Background: Breast deformity is common following lumpectomy. Use of ptotic lower pole tissue for restoration of volume in the upper pole is quite appealing since it allows for a concomitant lift. This study presents the medial pillar island flap technique of oncoplastic breast reconstruction of upper pole defects. Read More

Surg Case Rep 2018 Dec 13;4(1):144. Epub 2018 Dec 13.

Department of Surgery, Iwate Medical University School of Medicine, Iwate, Japan.

Background: Gastrointestinal stromal tumors (GISTs) grow relatively slowly and without specific symptoms; therefore, they are typically incidental findings. We report a rare gastric GIST in the mediastinum associated with chest discomfort and an esophageal hiatal hernia.

Case Presentation: An 81-year-old woman with chest discomfort was admitted to the hospital, where barium esophagography showed a sliding esophageal hiatal hernia and a tumor of the lower esophagus and gastric wall. Read More

Eur J Cardiothorac Surg 2018 Dec 12. Epub 2018 Dec 12.

Department of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

Objectives: The aim of this study was to evaluate the early and long-term outcomes of our multidisciplinary strategy for treating deep sternal wound infection after aortic grafting, which consisted of debridement by a plastic surgeon, negative pressure wound therapy with continuous irrigation and chest wall reconstruction.

Methods: We performed a retrospective analysis of 18 patients who had a deep sternal wound infection following aortic grafting through a median sternotomy between January 2009 and December 2017. All patients had organisms cultured from mediastinal tissue within 2 months from the initial aortic surgery. Read More

Local Reg Anesth 2018 15;11:91-109. Epub 2018 Nov 15.

Department of Anesthesiology, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA,

Regional anesthesia is becoming increasingly popular among anesthesiologists in the management of postoperative analgesia following pediatric surgery. The main objective of this review was to systematically evaluate the last 5 years of randomized controlled trials on the role of regional anesthesia techniques in alleviating postoperative pain associated with various pediatric surgical procedures. Forty studies on 2,408 pediatric patients were evaluated. Read More

J Cardiothorac Surg 2018 Dec 7;13(1):124. Epub 2018 Dec 7.

Department of thoracic surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China.

Objective: To investigate the methods and clinical efficacy of reconstruction of chest defects with titanium sternal fixation system after the surgical resection of sternal tumors.

Methods: A total of 6 patients with sternal tumor who were diagnosed and underwent resection and repair of the chest wall defects by titanium plates system, from 2017.3 to 2017. Read More

J Surg Oncol 2019 Jan 27;119(1):79-87. Epub 2018 Nov 27.

Department of Surgery, Plastic and Reconstructive Surgery Service, Memorial Sloan Kettering Cancer Center, New York, New York.

Background And Objectives: Women with unilateral early-stage breast cancer are increasingly choosing contralateral prophylactic mastectomy (CPM) despite the absence of survival benefits and increased risk of surgical complications. Data are lacking on whether this trend extends to women with clinically locally advanced nonmetastatic (cT4M0) cancer. This study aims to estimate national CPM trends in women with unilateral cT4M0 breast cancer. Read More

Arch Plast Surg 2018 Nov 15;45(6):593-597. Epub 2018 Nov 15.

Tulsa Plastic Surgery, Tulsa, OK, USA.

Sternal malunion, or loss, developed after a median sternotomy cannot only be difficult to manage and treat, but also may diminish one's quality-of-life drastically. The technique presented here represents a multispecialty approach in one stage for the reconstruction of an unstable thoracic cage. The procedure utilized a donated sternum and ribs. Read More

Invest Radiol 2019 Mar;54(3):129-137

Siemens Healthineers, Malvern, PA.

Objectives: The aim of this study was to evaluate if a high-resolution photon-counting detector computed tomography (PCD-CT) system with a 1024×1024 matrix reconstruction can improve the visualization of fine structures in the lungs compared with conventional high-resolution CT (HRCT).

Materials And Methods: Twenty-two adult patients referred for clinical chest HRCT (mean CTDI vol, 13.58 mGy) underwent additional dose-matched PCD-CT (mean volume CT dose index, 13. Read More

Aesthetic Plast Surg 2019 Apr 19;43(2):366-369. Epub 2018 Nov 19.

Unit of Plastic Surgery, Sapienza University of Rome, Rome, Italy.

Background: Breast augmentation is one of the most frequently performed esthetic operations. Galactorrhea and galactocele formation are both very rare complications. The real cause still remains unknown, but various risk factors have been well reported in the literature. Read More

Clin Plast Surg 2019 Jan 22;46(1):85-90. Epub 2018 Oct 22.

Division of Plastic and Reconstructive Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Box 661, Rochester, NY 14642, USA. Electronic address:

Brachioplasty is an increasingly popular procedure performed for improved arm contour in the massive-weight-loss population. There are challenging deformities presented in this population, such as redundant skin, posterior arm lipodystrophy, and loosening of fascial layers of the upper arm and chest wall that must be addressed to achieve successful contour of the arms. Common complications can be minimized with meticulous technique and knowledge of surgical anatomy. Read More

J Med Imaging Radiat Oncol 2019 Feb 16;63(1):47-53. Epub 2018 Nov 16.

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Introduction: Breast and chest wall desmoid tumours can cause debilitating symptoms and deformity. The mutilating effects of surgical treatment have prompted a shift to medical treatments and even to a wait-and-see approach. This study sought to highlight specific characteristics of breast and chest wall desmoid tumours on long-term follow-up by sequential MRI scans. Read More

Clin Anat 2018 Nov 13. Epub 2018 Nov 13.

Department of Plastic and Reconstructive Surgery, Bundang CHA Medical Center, School of Medicine, CHA University, Seongnam, South Korea.

There are various modifications of the transverse rectus abdominis musculocutaneous flap and deep inferior epigastric perforator flap to reduce the morbidity of the donor site or to augment the vascularity of the flap. For microanastomosis of multiple pedicles, multiple recipient vessels or an intervening vein graft should be provided. In addition, alternative perforator-based flaps used in breast reconstruction have small caliber pedicles. Read More

Asian J Surg 2019 Feb 9;42(2):474-476. Epub 2018 Nov 9.

Burn and Plastic Surgery Department, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China. Electronic address:

Respir Med Case Rep 2018 23;25:327-329. Epub 2018 Oct 23.

University of Florida College of Medicine, Pulmonary & Critical Care, USA.

Asphyxiating thoracic dystrophy (ATD also known as Jeune syndrome) is a very rare disorder with an incidence in the United States of 1 case per 100,000-130,000 live births. Chronic alveolar hypoventilation leading to concurrent hypoxia is the main cause of morbidity and mortality in these patients due to its complications. A 22-year-old male with past medical history of ATD and severe kyphoscoliosis presented with progressively worsening shortness of breath for several days. Read More

Ann Thorac Surg 2019 Mar 4;107(3):921-928. Epub 2018 Nov 4.

State Key Laboratory for Manufacturing Systems Engineering, Xi'an Jiaotong University, Xi'an, China.

Background: The purpose of this study is to use 3-dimensional printing (3DP) polyetheretherketone (PEEK) implants for skeletal reconstructions after wide excision of chest wall. 3DP PEEK implants were expected to provide a better physiological simulation than traditional ones because of a closer elastic modulus to cortical bone and similar biomechanical properties.

Methods: Eighteen patients (mean age 44. Read More

Korean J Thorac Cardiovasc Surg 2018 Oct 5;51(5):308-311. Epub 2018 Oct 5.

Department of Thoracic Surgery, Elisabeth-Tweesteden Hospital.

We herein present a new surgical reconstruction technique for large chest wall defects after resection of advanced chest wall tumors. Read More

BMJ Case Rep 2018 Nov 3;2018. Epub 2018 Nov 3.

General Surgery, Mayo General Hospital, Castlebar, Ireland.

Acquired abdominal intercostal hernia (AAIH) is an infrequent occurrence whereby intra-abdominal contents herniate into intercostal space directly from the peritoneal cavity through an acquired defect in the abdominal wall musculature and fascia. These hernias are difficult to diagnose and should always be suspected when a chest wall swelling occur after major or minor trauma. Surgical repair is warranted in symptomatic patients. Read More