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Treatment of Postoperative Fistula and Stricture with Myocutaneous Flap

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Abstract

Complications after reconstruction of the esophagus such as fistula and stricture are troublesome to both patients and surgeons. They can be treated in selected cases with transposition of myocutaneous flaps like latissimus dorsi [1] or pectoralis major [2]. The myocutaneous flap provides a skin patch for the inner lining of the esophagus, as well as abundant muscle of good blood supply to close the wound, which is an infection focus [3]. A series of 12 cases were treated in this way with satisfactory results.

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Reference

  1. McCraw JB, Penix JO, Baker JW (1978) Repair of major defects of the chest wall and spine with the latissimus dorsi myocutaneous flap. Plast Reconstr Surg 62:197–206

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  2. Arnold PG, Pairolero PC (1979) Use of the pectoralis major muscle flaps to repair defects of the anterior chest wall. Plast Reconstr Surg 63:205–213

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  3. Mathes SJ, Alpert BS, Chang N (1982) Use of the muscle flap in chronic osteomyelitis: experimental and clinical correlation. Plast Reconstr Surg 69:815–829

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© 1988 Springer-Verlag

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Chen, HC., Shieh, MJ., Tang, YB., Chang, CH., Noordhoff, M.S. (1988). Treatment of Postoperative Fistula and Stricture with Myocutaneous Flap. In: Siewert, J.R., Hölscher, A.H. (eds) Diseases of the Esophagus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-86432-2_294

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  • DOI: https://doi.org/10.1007/978-3-642-86432-2_294

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-86434-6

  • Online ISBN: 978-3-642-86432-2

  • eBook Packages: Springer Book Archive

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