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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:
1. Clinical Evaluation:
History:

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Related Experiment Video

Updated: May 10, 2026

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation

Published on: October 11, 2024

[Combined split ALT/TFL flap for soft tissue coverage in large thoracical defects].

M Pelzer¹, G Germann, C Czermak

¹Ethianum Klinik Heidelberg, Vossstr. 6, 69115, Heidelberg, Deutschland, michael.pelzer@ethianum.de.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen

|June 21, 2013

Summary

A novel combined split ALT/TFL flap technique effectively covers large chest wall defects after tumor resection, offering a new solution for complex reconstructions.

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Last Updated: May 10, 2026

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation

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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

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Published on: February 27, 2026

Area of Science:

Plastic Surgery
Surgical Oncology
Reconstructive Surgery

Context:

Large, ulcerating chest wall tumors necessitate extensive soft tissue coverage post-resection.
Standard reconstructive options like latissimus dorsi, VRAM, or TRAM flaps may be insufficient for very large defects.

Purpose:

To evaluate the efficacy of a new combined split ALT/TFL flap technique for soft tissue reconstruction in patients with large chest wall defects following tumor resection.

Summary:

Four patients (3 female, 1 male, mean age 54) with mean defect size of 656 cm² underwent soft tissue reconstruction using combined split ALT/TFL flaps.
Unilateral flaps were used in 3 cases, and bilateral in 1. All flaps achieved successful coverage without loss.
Primary donor site closure was possible in 2 cases, with split skin grafting required in 3.

Impact:

The combined split ALT/TFL flap represents a new development for reconstructing large chest wall defects previously unmanageable with single flaps.
This technique expands reconstructive options for complex oncological resections requiring significant soft tissue coverage.