{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T23:27:45Z","timestamp":1719617265787},"reference-count":8,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T00:00:00Z","timestamp":1340841600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>A large anterior chest wall defect following tumor resection was reconstructed with a Gore- Tex\u00ae membrane and a combined musculocutaneous rectus femoris and tensor fasciae latae free flap. Subsequent paradoxical respiration impeded weaning from the ventilator. Appliance of Vacuum Assisted Closure\u00ae (VAC\u00ae) resulted in immediate chest wall stability and a decrease in the patient\u2019s need for respiratory support. Shortly thereafter, the VAC\u00ae was discontinued and the patient was discharged from the intensive care unit (ICU). This case report is the first to describe the successful use of VAC\u00ae as an adjuvant to a one-stage procedure for large thoracic wall reconstruction, allowing sufficient temporary external fixation to eliminate paradoxical respiration and plausibly shorten the stay in the ICU. No adverse effects on flap healing or haemodynamics were recorded. It is likely that external VAC\u00ae can improve thoracic stability and pulmonary function in a patient with flail chest and decrease the need for mechanical ventilation.<\/jats:p>","DOI":"10.4081\/cp.2012.e65","type":"journal-article","created":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T08:18:59Z","timestamp":1340871539000},"page":"e65","source":"Crossref","is-referenced-by-count":3,"title":["Vac\u00ae for External Fixation of Flail Chest"],"prefix":"10.3390","volume":"2","author":[{"given":"Rikke","family":"Winge","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jais O.","family":"Berg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rikke","family":"Albret","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christen","family":"Krag","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2012,6,28]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1724","DOI":"10.1016\/j.athoracsur.2004.10.053","article-title":"Blood flow responses in the peristernal thoracic wall during vacuum-assisted closure therapy","volume":"79","author":"Wackenfors","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1016\/j.athoracsur.2006.04.085","article-title":"Sternal stability at different negative pressures during Vacuum-assisted closure therapy","volume":"82","author":"Mokhtari","year":"2006","journal-title":"Ann Thorac Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1055\/s-2006-921459","article-title":"Der stellenwert der V.A.C\u00ae-therapie bei sternumosteomyelitis","volume":"131","author":"Frerichs","year":"2006","journal-title":"Zentralbl Chir"},{"key":"ref4","first-page":"339","article-title":"Conservative management of flail chest after cardiopulmonary resuscitation by continuous negative extrathoracic pressure","volume":"8","author":"Linton","year":"2006","journal-title":"Crit Care Resusc"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.thorsurg.2007.02.005","article-title":"The management of flail chest","volume":"17","author":"Pettiford","year":"2007","journal-title":"Thorac Surg Clin"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1016\/j.bjps.2007.04.011","article-title":"Reconstruction of complex chest wall defects by using polypropylene mesh and a pedicled latissimus dorsi flap: a 6-year experience","volume":"61","author":"Hameed","year":"2008","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1378\/chest.102.4.1283","article-title":"External stabilization of flail chest using continuous negative extrathoracic pressure","volume":"102","author":"Hartke","year":"1992","journal-title":"Chest"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/S0022-4804(03)00331-7","article-title":"Hemodynamic effects of the vacuumassisted closure device on open mediastinal wounds","volume":"115","author":"Conquest","year":"2003","journal-title":"J Surg Res"}],"container-title":["Clinics and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-7283\/2\/3\/e65\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T06:14:59Z","timestamp":1644473699000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-7283\/2\/3\/e65"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6,28]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2012,10]]}},"alternative-id":["cp.2012.e65"],"URL":"https:\/\/doi.org\/10.4081\/cp.2012.e65","relation":{},"ISSN":["2039-7283"],"issn-type":[{"value":"2039-7283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,6,28]]}}}