ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Aaron E. Lucas
Norman Snow
Lewis M. Flint, Jr.
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lucas, A. E.
Right arrow Articles by Flint, L. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lucas, A. E.
Right arrow Articles by Flint, L. M., Jr.

Ann Thorac Surg 1982;33:619-623
© 1982 The Society of Thoracic Surgeons

Articles

Use of the Rhomboid Major Muscle Flap for Esophageal Repair

Aaron E. Lucas, M.D.*, Norman Snow, M.D., Gordon R. Tobin, M.D., Lewis M. Flint, Jr., M.D.

From the Department of Surgery and the Price Institute of Surgical Research, University of Louisville School of Medicine, Louisville, KY

Accepted for publication October 1, 1981.

* Address reprint requests to Dr. Lucas, the Department of Surgery, University of Louisville School of Medicine, 550 S Jackson St, Louisville, KY 40202

A 16-year-old boy sustained vehicular blunt trauma with delayed esophageal rupture that resulted in empyema and an esophagopleurocutaneous fistula. Diverting esophagostomy, gastrostomy, and transpyloric jejunostomy were performed, and these procedures permitted satisfactory nutritional support of the patient.

Staged direct closure of the esophagus buttressed by a rhomboid muscle flap preserved normal esophageal function. Both clinical application and cadaver dissections have demonstrated that the rhomboid flap has an excellent blood supply and that it can be used to repair lesions on either side in the upper half of the esophagus. Because this flap is extrathoracic, it is not usually distorted by intrathoracic sepsis or previous thoracic incisions. The rhomboid major muscle flap is an excellent alternative to conventional autogenous grafts for esophageal repair.




This article has been cited by other articles:


Home page
 Arch SurgHome page
J. D. Richardson and G. R. Tobin
Closure of Esophageal Defects With Muscle Flaps
Arch Surg, May 1, 1994; 129(5): 541 - 548.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1982 by The Society of Thoracic Surgeons.