Pectoralis major and serratus anterior muscle flap for diaphragmatic reconstruction.

Abstract The reconstruction of diaphragmatic defects after chondrosarcoma resection is challenging. In diaphragmatic reconstruction with chest wall defects, strong chest wall reconstruction and diaphragmatic flexibility are important to avoid interference with respiration. The artificial material, Gore-Tex, is used as the first choice, but it has infection-, exposure-, and durability-related drawbacks. As an alternative method using artificial material, we present our new alternative technique for diaphragmatic reconstruction using a reversed-combined pectoralis major and serratus anterior muscle flap.