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Treatment strategies for soft tissue injuries associated with blunt brachial artery injury.
Eur J Orthop Surg Traumatol
January 2025
Shonan Kamakura General Hospital, Kamakura, Japan.
Introduction: Blunt brachial artery injuries (BAI) require reconstruction with an extensive vein graft due to the wide area of arterial damage. In the upper arm, safe options for pedicle flaps are limited, and selecting recipient vessels for free-flap surgery is challenging, complicating the treatment of soft tissue injuries associated with blunt BAI. This study aimed to analyze the characteristics and soft tissue reconstruction of blunt BAI and propose treatment strategies for treating associated soft tissue injuries.
View Article and Find Full Text PDFReconstruction of a body wall defect using diaphragm lateralisation and advancement, latissimus dorsi, and internal and external abdominal oblique muscle flaps in a cat.
JFMS Open Rep
December 2024
Southfields Veterinary Specialists (Part of Linnaeus Veterinary Limited), Basildon, UK.
Case Summary: A cat aged 12 years and 7 months was referred to a multidisciplinary hospital for investigation of feline injection site sarcoma (FISS) on the left thoracolumbar region. A CT examination of the mass revealed a multi-lobulated mass affecting the body wall, extending from the level of lumbar vertebrae L2 to L4. The mass was excised with 5 cm lateral margins, including resection of the 13th left rib, the caudal edge of the latissimus dorsi (LD) muscle, full-thickness abdominal wall and sections of the lumbar epaxial muscles.
View Article and Find Full Text PDFFar Posterior Approach for Rib Fracture Fixation: Surgical Technique and Tips.
JBJS Essent Surg Tech
December 2024
Department of Orthopedics, OhioHealth Health System, Columbus, Ohio.
Article Synopsis
- The video article discusses the far posterior or paraspinal approach for treating posterior rib fractures, which enhances intraoperative visibility and minimizes muscle damage.
- This method helps preserve periscapular strength, achieving up to 95% recovery six months after surgery through muscle-sparing techniques.
- The surgical process involves precise skin incision and careful dissection of muscles like the trapezius, rhomboids, and latissimus dorsi to allow for effective access and treatment of the fractures without significant tissue loss.
[Obtaining Operative Field for the Repair of Thoracic Descending and Thoracoabdominal Aortic Aneurysms].
Kyobu Geka
September 2024
Department of Cardiovascular Surgery, The University of Tokyo, Tokyo, Japan.
Left thoracotomy with spiral incision is conventional approach for the repair of descending and thoracoabdominal aortic aneurysms. Because the aneurysms' locations and ranges are various, case-oriented approaches including body postures and the positions of thoracotomy are necessary. Preoperative computed tomography assessment of aneurysms is important for decision making of both operative indication and approach.
View Article and Find Full Text PDFLatissimus Dorsi Musculocutaneous Flap as a Therapeutic Option in Breast Reconstructive Surgery: A Case Report.
Cureus
September 2024
General Surgery, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Monterrey, MEX.
In plastic surgery, the reconstructive ladder is a systematic approach used to guide the planning and execution of reconstructive procedures. The use of autologous tissues is preferred in the breast reconstruction process due to the multiple advantages they offer. The latissimus dorsi musculocutaneous flap has been the therapeutic option of choice in these cases, replacing other surgical techniques because of the high adaptability and low complication rates.
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