The Utility Of The Pectoralis Myocutaneous Flap In The Management Of Select Cervical Esophageal Anastomotic Complications Richard F. Heitmiller, MD,

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Presentation transcript:

The Utility Of The Pectoralis Myocutaneous Flap In The Management Of Select Cervical Esophageal Anastomotic Complications Richard F. Heitmiller, MD, Shelly J. McQuone, MD, David W. Eisele, MD The Journal of Thoracic and Cardiovascular Surgery Volume 115, Issue 6, Pages 1250-1254 (June 1998) DOI: 10.1016/S0022-5223(98)70206-5 Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 1 The location of the PMF incisions and skin pedicle in relation to the cervical incision is shown. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 1250-1254DOI: (10.1016/S0022-5223(98)70206-5) Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 2 Diagrammatic summary of the PMF technique. The flap is tunneled into the cervical field, inverted, and the skin pedicle is used to widen the esophageal lumen as shown in the cross-sectional view. The accompanying pectoralis muscle secondarily reinforces the repair. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 1250-1254DOI: (10.1016/S0022-5223(98)70206-5) Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 3 The anastomotic stricture is widened by patching the narrowed segment with the PMF, which is oriented so that the skin surface faces intraluminally as shown (A). The arrow on the nasogastric tube is oriented from proximal to distal. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 1250-1254DOI: (10.1016/S0022-5223(98)70206-5) Copyright © 1998 Mosby, Inc. Terms and Conditions