A method for eliminating a chest wall defect after the sternoclavicular joint resection
- Authors: Medvedchikov-Ardiya M.A.1,2, Korymasov E.A.1, Benyan A.S.1, Rodin S.D.2
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Affiliations:
- Samara State Medical University
- Samara City Clinical Hospital №1 n.a. N.I. Pirogov
- Issue: Vol 8, No 3 (2023)
- Pages: 220-224
- Section: Surgery
- URL: https://journal-vniispk.ru/2500-1388/article/view/249953
- DOI: https://doi.org/10.35693/2500-1388-2023-8-3-220-224
- ID: 249953
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Abstract
Purulent arthritis of the sternoclavicular joint requires surgical treatment. The volume of the intervention depends on the degree of the joint's transformation and patient's general condition. The resulting defect of the chest wall tissues requires surgical closure at the reconstructive stage. In case of an extensive defect area with a skin deficiency, it is most advisable to use full-thickness flaps of the latissimus dorsi or pectoralis major muscles.
The article presents a clinical case of a patient operated for purulent arthritis of the sternoclavicular joint. The surgical treatment was planned in two stages. During the first stage, the use of vacuum-assisted dressings demonstrated its effectiveness. The second, reconstructive stage, included plastic surgery for the chest wall defect using a full-thickness flap of the pectoralis major on the thoracic branch of the thoracoacromial artery. The progress of the patient's surgical and general treatment was described in detail.
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##article.viewOnOriginalSite##About the authors
Mikhail A. Medvedchikov-Ardiya
Samara State Medical University; Samara City Clinical Hospital №1 n.a. N.I. Pirogov
Author for correspondence.
Email: m.a.medvedchikovardija@samsmu.ru
ORCID iD: 0000-0002-8884-1677
PhD, thoracic surgeon, deputy Chief Physician of the Thoracic Surgery Department; Associate professor of the Department of Surgery of the Institute of Postgraduate Education
Russian Federation, Samara; SamaraEvgenii A. Korymasov
Samara State Medical University
Email: e.a.korymasov@samsmu.ru
ORCID iD: 0000-0001-9732-5212
PhD, Professor, Head of the Department of Surgery of the Institute of Postgraduate Education
Russian Federation, SamaraArmen S. Benyan
Samara State Medical University
Email: a.s.benjan@samsmu.ru
ORCID iD: 0000-0003-4371-7426
PhD, Professor of the Department of Surgery of the Institute of Postgraduate Education
Russian Federation, SamaraSergei D. Rodin
Samara City Clinical Hospital №1 n.a. N.I. Pirogov
Email: doctor.ro@yandex.com
ORCID iD: 0009-0001-1594-312X
PhD, Head of the Purulent Surgery Department No. 17
Russian Federation, SamaraReferences
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