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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...

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Related Experiment Video

Updated: Jun 3, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

[Complex breast reconstruction after severe chest trauma by firearm].

M Veber1, M Grecea, A Scevola

  • 1Service de chirurgie plastique, centre Léon-Bérard, 28, rue Laennec, 69008 Lyon, France. dr.vebermichael@gmail.com

Annales De Chirurgie Plastique Et Esthetique
|April 5, 2011
PubMed
Summary

This case report details the successful breast reconstruction for a woman with severe chest trauma. Innovative techniques, including latissimus dorsi flap and lipomodeling, restored aesthetics after ballistic injury.

Related Experiment Videos

Last Updated: Jun 3, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Area of Science:

  • Reconstructive surgery
  • Plastic surgery
  • Trauma surgery

Background:

  • Ballistic chest trauma presents complex reconstructive challenges.
  • Severe hemothorax and heart wounds necessitate immediate surgical intervention.
  • Post-traumatic soft tissue defects require specialized reconstruction methods.

Observation:

  • A 47-year-old female patient sustained ballistic chest trauma with significant soft tissue loss.
  • Initial emergency treatment included heart surgery and chest wall coverage with a latissimus dorsi flap.
  • The patient underwent subsequent breast reconstruction using an abdominal advancement flap and lipomodeling.

Findings:

  • Microsurgical breast reconstruction was not feasible due to damaged recipient vessels from ballistic trauma.
  • The latissimus dorsi flap provided essential coverage for the chest defect.
  • Restoration of breast aesthetics was achieved through an abdominal advancement flap and multiple lipomodeling sessions.

Implications:

  • This case highlights the successful application of combined reconstructive techniques for complex post-traumatic breast deformities.
  • The study demonstrates the efficacy of latissimus dorsi flaps and lipomodeling in extreme thoracomammary region repairs.
  • The findings offer valuable insights for managing challenging breast reconstruction cases following severe trauma.