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Related Concept Videos

Flail Chest-I01:24

Flail Chest-I

737
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...
737
Flail Chest-II01:26

Flail Chest-II

648
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:
648
Chest Physiotherapy01:24

Chest Physiotherapy

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Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
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Plant Cell Wall02:43

Plant Cell Wall

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The plant cell wall gives plant cells shape, support, and protection. As a cell matures, its cell wall specializes according to the cell type. For example, the parenchyma cells of leaves possess only a thin, primary cell wall.
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Plant Cell Wall01:07

Plant Cell Wall

7.7K
Plant cells have a cell wall, a rigid outer covering that protects the cell and provides shape and support. During cell division, a mixture of enzymes, proteins, and glucose molecules is transported via vesicles to the center of the cell. These vesicles continuously fuse and build a cell plate between the dividing cells. As the cell plate matures, new polysaccharides are added to it to form the cell walls of the daughter cells. The predominant polysaccharide in the cell wall is cellulose, made...
7.7K
Composite Masonry Walls01:18

Composite Masonry Walls

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Composite masonry walls combine multiple wythes of the same or different masonry materials to create a unified structure. These walls feature wythes that are bonded together either through mortar-filled collar joints, grouted spaces, or more commonly, with rigid metal ties and reinforcements, with the use of masonry header units being rare. Metal ties are preferred because they effectively minimize water penetration, as these walls primarily absorb moisture and then release it into the...
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Related Experiment Video

Updated: Feb 7, 2026

A Novel Microsurgical Model for Heterotopic, En Bloc Chest Wall, Thymus, and Heart Transplantation in Mice
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A Novel Microsurgical Model for Heterotopic, En Bloc Chest Wall, Thymus, and Heart Transplantation in Mice

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Chest wall reconstruction after tumor resection.

Gideon Sandler1, Andrea Hayes-Jordan1

  • 1Pediatric Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street 17.6053, External Mail: Unit 1484, Houston, TX 77030, United States of America.

Seminars in Pediatric Surgery
|August 7, 2018
PubMed
Summary

Pediatric chest wall tumors, primarily sarcomas, present significant surgical challenges. Reconstruction must balance function, cosmesis, growth, and radiotherapy, with future innovations promising better outcomes.

Keywords:
Chest wall reconstructionChest wall tumorPediatric

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Area of Science:

  • Pediatric oncology
  • Thoracic surgery
  • Biomaterials science

Background:

  • Pediatric chest wall tumors are rare, with malignancies, particularly sarcomas, being most common.
  • Chest wall reconstruction has been a complex surgical challenge since the late 19th century.

Purpose of the Study:

  • To review the challenges and advancements in pediatric chest wall tumor resection and reconstruction.
  • To discuss current and future strategies for optimizing functional and cosmetic outcomes.

Main Methods:

  • Review of historical and current surgical techniques for chest wall reconstruction.
  • Analysis of various reconstructive materials including synthetic meshes, bioprosthetics, and grafts.
  • Discussion of soft tissue coverage options and potential complications.

Main Results:

  • Reconstruction techniques are dependent on patient age, tumor site, and pathology.
  • Both bony and soft tissue reconstruction involve diverse materials and methods.
  • Complications like scoliosis, pain, and pulmonary deficits must be avoided.

Conclusions:

  • Despite advances in cancer therapy, significant functional and cosmetic challenges persist, especially in young children with large defects.
  • Future directions include absorbable meshes, biointegratable grafts, and regenerative medicine approaches.
  • Novel therapies may eventually reduce or eliminate the need for surgical resection.