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Fig. 4  | Surgical Case Reports

Fig. 4 

From: Repair using the pectoralis major musculocutaneous flap for refractory anastomotic leakage after total esophagectomy

Fig. 4 

The operative findings of treatment using PMMF. a The skin incision was designed connecting the line for neck procedure and harvesting PMMF. b The skin of the PMMF and the wedge of the leakage were hand sutured via double layers with the skin inside. Scheme of the operative view is on the right. c The large defect of the anterior wall of the gastric tube was fully covered and repaired with PMMF. Scheme of the operative view is located on the right side. d The muscle side of the PMMF was covered with the mesh skin graft harvested from his left lateral thigh

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