Immediate Chest Wall Reconstruction After Oncoplastic Surgery

Jose M. Galbis-Caravajal, Miriam Estors-Guerrero, Carlos A. Fuster-Diana, Fernando Sanchez-Garcia, Rafael Esturi Navarro, Nestor Martinez-Hernandez, Luis Yeste-Sanchez, Arantxa Lafuente-Sanchis

Abstract


Background: In this paper, we report our experience in the resection and immediate reconstruction of chest wall tumors, using oncoplastic surgery criteria.

Methods: This is a prospective study including 27 patients with malignant tumors of the chest wall (primary and metastatic) who underwent oncoplastic surgery with curative intent.

Results: In 15 cases, it was a sternal defect and in 12, the ribs were involved. Immediate closure, in collaboration with teams of plastic surgeons, was conducted with different prostheses to provide wall stability and then be able to cover the defect with musculocutaneous flaps at different levels, depending on the need.

Conclusions: Extended resection of the chest wall is the best treatment for most tumors affecting this region. Reconstruction with mesh and musculocutaneous flap is an effective technique for repairing such defects, although not without morbidity.




J Curr Surg. 2015;5(1):133-136
doi: http://dx.doi.org/10.14740/jcs262w

 


Keywords


Chest wall reconstruction; Osteosynthesis material; Meshes; Chest wall oncoplastic surgery

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