Thoracomyoplasty with pedicled muscle flaps: a single center experience with a combined approach

Objectives: Thoracoplasty has lost its popularity over time and is being supplanted by space-reduction operations using muscle flaps. Our study purpose was to investigate the remaining indications and the modifications of the classic technique in our current surgical practice. Patients and methods: From 2008 to 2016, 31 patients underwent a thoracomyoplasty procedure in our thoracic surgery department. Muscle flaps were used to buttress bronchial fistulas and additionally fill out the residual spaces. The muscle flaps used were: 27 latissimus dorsi (11 latissimus dorsi only/16 combined latissimus dorsi: 7 plus s…