scholarly journals Stable and Functional Anatomical Chest Wall Reconstruction Using a Novel Prosthetic Construct

2021 ◽  
Vol 7 ◽  
pp. 2513826X2110222
Author(s):  
Rebecca J Lendzion ◽  
Alexander Varey ◽  
Gideon Sandler
Keyword(s):  
Chest Wall ◽  
Chest Wall Reconstruction ◽  
Chest Wall Resection ◽  
Surgical Morbidity ◽  
Functional Disturbance ◽  
Post Operative Pain ◽  
Phyllodes Tumour ◽  
Lateral Chest ◽  
Locally Recurrent ◽  
Malignant Phyllodes Tumour

Resection of neoplastic chest wall lesions is associated with high surgical morbidity and can result in complete full thickness defects. Defects can be challenging to reconstruct and require a multidisciplinary surgical approach. The goals of chest wall resection are to optimize oncological outcomes while also minimizing functional disturbance. We report a novel technique, using a Titanium and Polymethyl-methacrylate (PMMA) construct for an antero–lateral chest wall reconstruction following resection of a locally recurrent malignant Phyllodes tumour. This approach to reconstruction provides stability, allows chest wall excursion and minimizes post-operative pain.

Chest wall resection for locally recurrent breast cancer: Indications, technique, and results

1992 ◽  
Vol 49 (3) ◽  
pp. 189-195 ◽  
Author(s):  
Steven T. Brower ◽  
Hubert Weinberg ◽  
Paul I. Tartter ◽  
Jorge Camunas
Keyword(s):  
Breast Cancer ◽  
Chest Wall ◽  
Recurrent Breast Cancer ◽  
Chest Wall Resection ◽  
Locally Recurrent ◽  
Recurrent Breast

scholarly journals Chest wall resection and reconstruction by composite prosthesis for locally recurrent breast carcinoma

2020 ◽  
Vol 12 (1) ◽  
pp. 39-41
Author(s):  
Francesco Petrella ◽  
Giorgio Lo Iacono ◽  
Monica Casiraghi ◽  
Lorenzo Gherzi ◽  
Elena Prisciandaro ◽  
...  
Keyword(s):  
Breast Carcinoma ◽  
Chest Wall ◽  
Chest Wall Resection ◽  
Locally Recurrent ◽  
Recurrent Breast

Comparison of Acellular Dermal Matrix and Synthetic Mesh for Lateral Chest Wall Reconstruction in a Rabbit Model

2007 ◽  
Vol 119 (4) ◽  
pp. 1238-1246 ◽  
Author(s):  
Luther H. Holton ◽  
Thomas Chung ◽  
Ronald P. Silverman ◽  
Hafez Haerian ◽  
Nelson H. Goldberg ◽  
...  
Keyword(s):  
Chest Wall ◽  
Rabbit Model ◽  
Acellular Dermal Matrix ◽  
Synthetic Mesh ◽  
Chest Wall Reconstruction ◽  
Dermal Matrix ◽  
Lateral Chest ◽  
Acellular Dermal

Surgical Morbidity of Full-Thickness Chest Wall Resection for Breast Cancer: A Retrospective Study of a National Database

2021 ◽  
Vol 257 ◽  
pp. 161-166
Author(s):  
Maryam Elmi ◽  
Elliot Wakeam ◽  
Arash Azin ◽  
Roseanna Presutti ◽  
David R. McCready ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Retrospective Study ◽  
Chest Wall ◽  
National Database ◽  
Chest Wall Resection ◽  
Full Thickness ◽  
Surgical Morbidity

scholarly journals Chest-Wall Resection for Locally Recurrent Breast Cancer

1969 ◽  
Vol 19 (5) ◽  
pp. 282-288 ◽  
Author(s):  
A. F. Snyder ◽  
G. M. Farrow ◽  
J. K. Masson ◽  
W. S. Payne
Keyword(s):  
Breast Cancer ◽  
Chest Wall ◽  
Recurrent Breast Cancer ◽  
Chest Wall Resection ◽  
Locally Recurrent ◽  
Recurrent Breast

scholarly journals Chest Wall Resection and Reconstruction for Locally Recurrent Breast Cancer : An Experience Over a 5-Year Period

2021 ◽  
Author(s):  
Qiang Sun ◽  
Yu-xin Wang ◽  
Shi-feng Jin ◽  
Chen-chao Wang ◽  
You Zhou ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Chest Wall ◽  
Tumor Resection ◽  
Recurrent Breast Cancer ◽  
Musculocutaneous Flap ◽  
Chest Wall Resection ◽  
Complete Tumor Resection ◽  
Locally Recurrent ◽  
Recurrent Breast ◽  
Complete Tumor

Abstract BackgroundExpanded local resection is suitable for recurrent breast cancer patients who have isolated local lesion and have not metastasized. The extend of chest wall resection must be overall radical resection of the tumors diagnosed by pathology. However, surgery often leads to huge defects, even full-thickness defects, and these defects are difficult to repair. MethodsChest wall resection was performed in 5 patients with locally recurrent breast cancer, followed by chest wall reconstruction with a pedicled rectus abdominis musculocutaneous flap or a pedicled latissimus dorsi musculocutaneous flap and, if necessary, a piece of titanium mesh. ResultsChest wall resection and reconstruction were successfully achieved in all 5 patients. No complication and recurrence were observed, except one patient died of late lymphatic metastasis. Other patients reported good quality of life.ConclusionsFor locally recurrent breast cancer, complete tumor resection is complete tumor resection is essential and ensures no recurrence. Appropriate material and the blood-rich flap or myocutaneous flap should be used to reconstruct the chest wall defect as an effective treatment for surgical procedure.

scholarly journals Chest wall reconstruction still has place in Today’s modern practice:" a tertiary center experience"

2019 ◽  
Vol 1 (3) ◽  
pp. 75-84
Author(s):  
Amr Ibrahim Abd Elaal Osman ◽  
Mohamed A. K. Salama Ayyad ◽  
Hussein Elkhayat ◽  
Ali A. Elwahab
Keyword(s):  
Chest Wall ◽  
Average Length ◽  
Lung Resection ◽  
Flail Chest ◽  
Median Sternotomy ◽  
Surgical Techniques ◽  
Early Postoperative Period ◽  
Chest Wall Reconstruction ◽  
Chest Wall Resection ◽  
Tertiary Center

Background: The key factor following chest wall resection is the preservation of the stability and integrity of the chest wall to support the respiration and protect the underlying organs. The present study aims to evaluate the use of the available grafts and prosthetic materials at our center in chest wall reconstruction with adherence to the proper surgical techniques, good perioperative and postoperative care to obtain good results. Methods: This is a retrospective single center study that concludes all patients underwent chest wall reconstruction for a variety of defects resulting from resection of tumors, trauma due to primarily firearms or motor car accidents, resection of radio necrotic tissues, infection and dehiscence of median sternotomy wounds after cardiac surgery.  Results: Study population consisted of 30 patients between January 2015and may 2018, among them were 20 male (70%) and 10 female patients (30%), with a median age of 43 ± 16.3 years, resection and reconstruction was performed in 23 cases (15 neoplastic,5 infective and  3 firearm cases) while reconstruction alone was performed in 7 (traumatic flail chest)  cases. Eighteen patients, underwent rib resection with an average 4.18 ± 2.2 ribs (range 2-6). Associated lung resection was performed in 5 patients (27.8 %): diaphragmatic resection was done in 2 cases in addition total sternal resection was performed in 5 cases. Most of the patients (96.7%) had primary healing of their wounds. there was one death (3.3%) in the early postoperative period. The average length of hospital stay for all patients was 8.7 days (range: 5–15). Respiratory complications occurred in three cases in the form of atelectasis and pneumonia at the ipsilateral side of reconstruction. Three cases suffered wound seroma which successfully managed by daily dressing and antibiotic coverage. Conclusions: according to our study and the analysis of similar studies, adequate perioperative preparation of patient undergoing chest wall resection and reconstruction with adherence to effective surgical techniques allowed us to use the available materials at our center for chest wall reconstruction with good and effective results without adding burden in terms of cost on the patient.

scholarly journals Management of recurrent phyllodes with full thickness chest wall resection

1970 ◽  
Vol 1 (1) ◽  
pp. 9-13
Author(s):  
R Awwal ◽  
SA Shashi ◽  
MS Khondokar ◽  
SH Khundkar
Keyword(s):  
Chest Wall ◽  
Locally Advanced ◽  
Good Prognosis ◽  
Chest Wall Resection ◽  
Full Thickness ◽  
Extensive Resection ◽  
Unique Challenge ◽  
Phyllodes Tumour ◽  
Phyllodes Tumours

Phyllodes tumours are biphasic fibroepithelial neoplasms of the breast and each case represents a unique challenge. Even after apparent wide local excision of benign lesions, they recur and recurrences can occur even for 5-6 times. The ultimate end result is chest wall invasion and reconstruction then becomes an essential part of the curative surgical procedure. For a locally advanced breast malignancy, treatment is always palliative with simple coverage and oncologic support. But as Phyllodes tumour is of low aggressiveness, wide excision of even locally advanced malignant phyllodes can result in a good prognosis. Wide and extensive resection always invites the need of reconstruction, and surely it is a challenge when it is for a post-mastectomy recurrent lesion, where the role of plastic surgeons becomes essential. Two such cases are presented where disease control was only possible after full thickness chest wall resection.DOI: http://dx.doi.org/10.3329/bdjps.v1i1.6486Bangladesh Journal of Plastic Surgery (2010) Vol. 1 (1) pp.9-13

Anterior Chest Wall Reconstruction Using Polypropylene Mesh: A Retrospective Study

2019 ◽  
Vol 68 (04) ◽  
pp. 341-351 ◽  
Author(s):  
Alexander Schroeder-Finckh ◽  
Alberto Lopez-Pastorini ◽  
Thomas Galetin ◽  
Jerome Defosse ◽  
Erich Stoelben ◽  
...  
Keyword(s):  
Chest Wall ◽  
Polypropylene Mesh ◽  
Anterior Chest Wall ◽  
Pulmonary Complications ◽  
Chest Wall Reconstruction ◽  
Chest Wall Resection ◽  
Primary Tumors ◽  
Percentage Difference ◽  
Operative Revision ◽  
The Difference

Background Anterior chest wall resection for oncological purposes is usually combined with a form of reconstruction. Most surgeons are convinced that ventrally located defects more than 4 to 5 cm require adequate reconstruction to minimize the risk of lung herniation and respiratory distress through paradox motion. We describe our in-house results of ventral chest wall reconstruction using polypropylene mesh without the use of metallic or biological implants regardless of the extent of chest wall resection. Methods Patient selection involved ventral chest wall resection and reconstruction by polypropylene mesh for all indications such as primary tumors, metastasis, or infiltration by lung cancer from January 2008 to December 2016. Primary end point was the difference between both sides. Secondary end points were postoperative complications such as infection, surgical revision, and pulmonary complications. Results Forty-five cases of isolated anterior reconstruction could be identified. In 34 cases, postoperative computed tomography scan of the thorax was available. Fifteen males and 19 females with a median age of 70.5 years were operated. The evaluation of maximum hemithorax diameter between operated and nonoperated sides was documented in centimeters, and the difference was documented in percentage. The mean percentage difference was 11.1% (minimum: 0.3, maximum: 44.4). In one case, wound infection with positive culture could not be treated conservatively and required operative revision and removal of the polypropylene mesh. Conclusion Polypropylene mesh, though not rigid, can safely be used for anterior chest wall reconstruction.

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