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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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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.
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1. Clinical Evaluation:
History:
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Flail Chest-I01:24

Flail Chest-I

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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.
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Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
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Thoracic Aorta01:15

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The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
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Related Experiment Video

Updated: Dec 6, 2025

Procurement and Perfusion-Decellularization of Porcine Vascularized Flaps in a Customized Perfusion Bioreactor
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Propeller Flaps in the Posterior Trunk.

Daniel J Kedar1,2, Changsik John Pak1, Hyunsuk Peter Suh1

  • 1Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Seminars in Plastic Surgery
|October 12, 2020
PubMed
Summary
This summary is machine-generated.

Reconstructing complex posterior trunk defects is now more feasible using perforator flaps, offering an elegant solution with minimal donor-site morbidity. This approach enhances surgical options for defect management.

Keywords:
perforator flapposterior trunk reconstructionpropeller flap

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Anatomy

Background:

  • Complex posterior trunk defects present significant reconstructive challenges.
  • Advances in understanding angiosomes and perforator flaps have expanded reconstructive options.
  • Propeller flaps offer a promising technique for these defects.

Purpose of the Study:

  • To discuss the relevant anatomy and design principles of propeller flaps for posterior trunk reconstruction.
  • To review literature and present institutional experience with this technique.
  • To outline surgical techniques and complication management.

Main Methods:

  • Literature review focusing on angiosomes and perforator flap principles.
  • Description of preoperative planning and perforator selection.
  • Detailed explanation of intraoperative surgical techniques.

Main Results:

  • Propeller flaps provide an elegant solution for posterior trunk defects.
  • This technique allows for primary donor-site closure with reduced morbidity.
  • Successful reconstruction is achievable with careful planning and execution.

Conclusions:

  • Propeller flaps represent a valuable tool for reconstructing posterior trunk defects.
  • Understanding perforator anatomy and flap design is crucial for success.
  • This method offers a favorable balance between defect coverage and donor-site outcomes.