Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc
Journal website http://www.currentsurgery.org

Original Article

Volume 5, Number 1, April 2015, pages 133-136


Immediate Chest Wall Reconstruction After Oncoplastic Surgery

Tables

Table 1. Material for Chest Wall Reconstruction
 
Polyglycolic acid (LactoSorb®): resorbable
Autologous bone/cadaver
Steel bars
Meshes
  Mesh-methyl methacrylate (MMM)
  Titanium
  Goretex (polytetrafluoroethylene (PTFE®))
  Cemented (Sandwich Technique)
Moldable titanium bars
  Bars (Synthes®)
  Stratos® system: bar + rib clips
  Intramedullary system (MatrixRIB®)

 

Table 2. Chest Wall Oncoplastic Surgery
 
Oncoplastic surgery: characteristics
  Oncologic surgery with complete resection criteria
  En bloc resection from skin to parietal pleura or affected organs
  Resection of three or more ribs or sternum (total or partial)
  Immediate reconstruction in the same surgical procedure

 

Table 3. Patients Included in This Study
 
No.DiagnosisDefectAgeMeshFlap
A: anterior; L: lateral; TO: thoracic outlet; PTFE: polytetrafluoroethylene; MMM: mesh-methyl methacrylate; PT: pectoral; DS: dorsal; RC: rectus.
1ChondrosarcomaA38PTFEPT
2ChondrosarcomaA54M-MPT
3Desmoid tumorL59M-MDS
4NeurofibrosarcomaA43PTFEPT
5Breast carcinomaA61PTFERC
6ChondrosarcomaL29M-MDS
7RhabdomyosarcomaL74PTFERC
8Lung carcinomaA70PTFEPT
9SchwannomaL32PTFEPT
10Breast carcinomaA41PTFERC
11Thyroid carcinomaA62M-MDS
12Thyroid carcinomaA63M-MRC
13ChondrosarcomaA50PTFEPT
14Radio-induced sarcomaL63M-MRC
15ChondrosarcomaL64M-MDS
16Breast carcinomaA43Titanium meshDS
17Breast carcinomaA33Titanium meshDS
18Fibrous histiocytomaA42Titanium meshDS
19Giant cell tumorA55PTFEPT
20ChondrosarcomaA55Titanium barsDS
21Breast carcinomaA43Titanium meshPT
22Squamous cell carcinomaTO80Titanium barsPT
23Squamous cell carcinomaTO77Titanium barsPT
24Esophageal carcinomaL42Titanium barsDS
25ChondrosarcomaA45Titanium meshPT
26Pleomorphic sarcomaL76PTFEDS
27Breast carcinomaA44Titanium meshDS

 

Table 4. Main Anatomical Defect Following Tumor Resection
 
Anatomical defectCases
Anterior costal8
Lateral costal4
Superior sternal11
Medium sternal4

 

Table 5. Major Complications Associated With Surgery
 
ComplicationCases
Chronic cutaneous fistula1
Change of prosthesis1
Persistent seroma (> 15 days)2
Partial flap necrosis4
Perioperative death2