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In addition, all subjects developed a paradoxical septal motion after surgery which is related to regional myocardial oedema after bypass [ 20] and invasive ventilation after chest wall closure [ 21].
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After the flap was tacked to the chest wall with 3 × 0 polydioxanon sutures, closure of the medial and lateral pillars over the flap optimized upper pole fullness.
After the flap was tacked to the chest wall with 2 × 0 PDS sutures, closure of the medial and lateral pillars over the flap optimized upper-pole fullness (Fig. 9).
The modifications to technique include: a curvilinear design that recruited more skin for closure in patients with wounds extending laterally or superiorly, routine transposition of latissimus dorsi insertion inferio-medially onto the chest wall to maximize pedicle reach, and the use of small split skin grafts or delayed primary closure if there was tension in closing.
chest wall elastance.
Hemi-left anterior chest wall.
pressure at the chest wall.
Altered pulmonary and chest wall mechanics.
Upper mid panel: normal chest wall.
Lower right panel: stiff chest wall.
The chest wall was non-tender.
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