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Pneumothorax-II

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.
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Flail Chest-II

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:
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History:

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Updated: May 11, 2026

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

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Chest wall reconstruction after oncological resections.

¹Department of Plastic Surgery, Helsinki University Hospital, Helsinki, Finland. erkki.tukiainen@hus.fi

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society

|May 1, 2013

Summary

Chest wall reconstruction addresses defects from tumor removal using flaps and meshes for stability and closure. Surgical technique and patient factors guide reconstruction choices for optimal outcomes.

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Area of Science:

Thoracic surgery
Surgical oncology
Plastic and reconstructive surgery

Background:

Chest wall defects commonly arise from tumor resections, particularly bone and soft tissue sarcomas and recurrent breast cancer.
Reconstruction aims for chest cavity stability, airtight closure, and aesthetic results.

Purpose of the Study:

To outline the principles and methods for chest wall reconstruction following tumor resection.
To guide the selection of appropriate reconstruction techniques based on defect characteristics and patient factors.

Main Methods:

Review of reconstruction options including pedicled flaps (latissimus dorsi, rectus abdominis, pectoralis), free flaps, and omental/breast flaps.
Utilization of artificial meshes, sometimes reinforced with methylmethacrylate or rib grafts, for structural support.
Consideration of patient health, tumor type, defect size, and location in surgical planning.

Main Results:

Pedicled flaps are often the primary choice for soft tissue coverage.
Free flaps are indicated when local options are exhausted or compromised by prior treatments.
Meshes provide essential stability, with augmentation for extensive defects to prevent paradoxical motion.

Conclusions:

Successful chest wall reconstruction requires careful preoperative assessment, meticulous surgical technique, and appropriate postoperative care.
The choice of reconstruction method balances functional requirements (stability, closure) with cosmetic considerations.
A combination of flap coverage and mesh reinforcement offers versatile solutions for diverse chest wall defects.