Radionecrosis of the Chest Wall

Dear Dr. Bellami, Did you consider using the breast for closure? Thanks for your video of a very interesting case and resolution. Luis M. Argote-Greene MD Thoracic Surgery

Dear Dr Bellami, Thank you for sharing this interesting case. The omentum is indeed the preferred flap for primary closure of such an extensive chest wall defect. However, (meshed) skin grafting is possible, directly onto the omentum, with autologous fibrin glue (Eur J Cardiothorac Surg. 2010;37:87-92) at the time of the primary reconstruction OR the omentum containing wound could have been primarilycovered with a flap developed from the contralateral, very ptotic breast (instead of waiting for 4 weeks). Jan J van Wingerden, MBChB, MMed, FCS(SA)