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REPAIR AND RECONSTRUCTION OF CHEST WALL DEFECT

Medical History

The patient had breast cancer and underwent a modified mastectomy years ago. Following the surgery, she received radiation therapy, which led to radiation chest wall ulcer. Despite repeated dressing changes, the ulcers failed to heal properly, causing persistent defects in the chest wall tissues. Over these years, she has sought treatment from multiple hospitals and tried various methods, yet the chest wall defect have remained unhealed.

Preoperative Examination

There is a 7x7 cm defect in the left chest wall, with the surrounding skin exhibiting abnormal coloration and poor blood circulation.

Surgical Overview

Explore the surgical case of a patient with chest wall defect, who had suffered from chest wall ulcers resulting from radiation therapy after breast cancer surgery. The ulcers failed to heal properly, ultimately causing a 7x7 cm defect in the left chest wall. The surgery involved excising all necrotic tissue, then using MatrixRIBs to reconstruct the bone structure, and latissimus dorsi flaps to repair the skin defect. The surgery was successful and achieved satisfactory results.

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