Reconstructive surgery of the chest, abdomen, and pelvis

495 Pages·2004·39.39 MB·English

by  Evans

CopyrightedMaterial
CopyrightedMaterial
CopyrightedMaterial
Reconstructive Surgery of the
Chest, Abdomen, and Pelvis
CopyrightedMaterial
CopyrightedMaterial
Reconstructive Surgery of the
Chest, Abdomen, and Pelvis
edited by
Gregory R. D. Evans
UniversityofCalifornia atIrvine
Irvine, California, U5.A.
MARCEL
MARCEL DEKKER, INC. NEW YORK· BASEL
CopyrightedMaterial
CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2004 by Taylor & Francis Group, LLC
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Version Date: 20140807
International Standard Book Number-13: 978-0-8493-7808-9 (eBook - PDF)
This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have
been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal respon-
sibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or
opinions expressed in this book by individual editors, authors or contributors are personal to them and do not neces-
sarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for
use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other
professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and
the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on
dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant
national drug formulary and the drug companies’ printed instructions, and their websites, before administering any of
the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suit-
able for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own
professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted
to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permis-
sion to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and
let us know so we may rectify in any future reprint.
Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or uti-
lized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopy-
ing, microfilming, and recording, or in any information storage or retrieval system, without written permission from the
publishers.
For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://
www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923,
978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For
organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged.
Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for
identification and explanation without intent to infringe.
Visit the Taylor & Francis Web site at
http://www.taylorandfrancis.com
and the CRC Press Web site at
http://www.crcpress.com
Preface
The art ofplastic surgery is the restoration ofform and function. We have become
proficient in the transfer of flaps for these functional restorations, but recent tech
niques have focused on these restorations with a more aesthetic approach and im
provementin thequalityoflife.Itiswiththesenewfounddirectionsthatreconstructive
surgery can expand beyond "just coverage of the wounds" and focus more on the
aesthetic restoration ofsoft and bony defects. In our search for these more focused
operations, reconstructionofthechest,abdomen, and pelvisarecritical for maintain
ingambulation, pulmonary function, and a sense ofappearance. This book attempts
to expand upon these time-honored and new aesthetic techniques to the trunk. The
most common operative procedures likely to be encountered by the plastic surgeon
have been identified within this book. In each chapter, the authors attempt to
synthesizethemyriad ofhistoricaldata and techniquesalongwith theirown personal
experiencetoobtainthoseresultstoimprovethequalityoflifeand restoreanaesthetic
appearance to the surgical area.
Theapproach to each chapterfollows ourapproach to individual patients. This
includesanassessmentofthedefect,indicationsfortheoperation,pathophysiologyof
thechanges, operative techniques, and postoperativecare. It is our hope that this ap
proach will mimic the approach we take daily in the preparation ofour patients.
FinallyIwould like to thankmyassociates, MarkKobayashi, Michael Sundine,
andJayCalvert,who havebeenan inspirationinmysurgicalskills. Iwouldalsoliketo
thank the endless numberofstudentsand residents who continue to push our knowl
edge and continue to drive us to perfection. I would be remiss ifI did not especially
thank my lovingfamily, who haveprovided me withendlesssupport and understand
ing in my professional life and mycommitment to patients and resident education.
I trust that you willfind this workexcitingand will spureachofyou tostrivefor
those more aestheticand quality-of-life issues we face daily.
Gregory R. D. Evans
iii
CopyrightedMaterial
CopyrightedMaterial
Contents
Preface iii
Contributors IX
CHEST
1. Anatomy of the Chest Wall
William P. Adams, Jr. andJeffrey E. Janis
2. Preoperative Evaluation ofPatients Undergoing Chest Wall
Reconstruction 17
Melissa A. Ka::.anolvski and GeofFey C Gurtner
3. Introduction to Surgical Infections of the Chest: Empyema
and Mediastinitis 29
Blanding U Jones, Jeffrey Jim. and Jeffrey C Milliken
4. Treatment ofSternal Clefts 43
Michael 1. Sundine
5. Poland's Syndrome 63
Yvonne L. Karanas and James Chang
6. Pleural Defects 73
Jay W. Calvert
7. Alloplastic Reconstruction ofChest Wall Deformities 87
David1. Rowe awl Arun K Gosain
8. Reconstruction ofPectus Excavatum and Pectus Carinatum 99
Theodore S. Wright, Seema Kumbhat, and Michael L. Bent:!
9. Chest Wall Tumors 113
Mary Maish and Garrett Walsh
v
CopyrightedMaterial