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
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®) |
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 |
No. | Diagnosis | Defect | Age | Mesh | Flap |
---|---|---|---|---|---|
A: anterior; L: lateral; TO: thoracic outlet; PTFE: polytetrafluoroethylene; MMM: mesh-methyl methacrylate; PT: pectoral; DS: dorsal; RC: rectus. | |||||
1 | Chondrosarcoma | A | 38 | PTFE | PT |
2 | Chondrosarcoma | A | 54 | M-M | PT |
3 | Desmoid tumor | L | 59 | M-M | DS |
4 | Neurofibrosarcoma | A | 43 | PTFE | PT |
5 | Breast carcinoma | A | 61 | PTFE | RC |
6 | Chondrosarcoma | L | 29 | M-M | DS |
7 | Rhabdomyosarcoma | L | 74 | PTFE | RC |
8 | Lung carcinoma | A | 70 | PTFE | PT |
9 | Schwannoma | L | 32 | PTFE | PT |
10 | Breast carcinoma | A | 41 | PTFE | RC |
11 | Thyroid carcinoma | A | 62 | M-M | DS |
12 | Thyroid carcinoma | A | 63 | M-M | RC |
13 | Chondrosarcoma | A | 50 | PTFE | PT |
14 | Radio-induced sarcoma | L | 63 | M-M | RC |
15 | Chondrosarcoma | L | 64 | M-M | DS |
16 | Breast carcinoma | A | 43 | Titanium mesh | DS |
17 | Breast carcinoma | A | 33 | Titanium mesh | DS |
18 | Fibrous histiocytoma | A | 42 | Titanium mesh | DS |
19 | Giant cell tumor | A | 55 | PTFE | PT |
20 | Chondrosarcoma | A | 55 | Titanium bars | DS |
21 | Breast carcinoma | A | 43 | Titanium mesh | PT |
22 | Squamous cell carcinoma | TO | 80 | Titanium bars | PT |
23 | Squamous cell carcinoma | TO | 77 | Titanium bars | PT |
24 | Esophageal carcinoma | L | 42 | Titanium bars | DS |
25 | Chondrosarcoma | A | 45 | Titanium mesh | PT |
26 | Pleomorphic sarcoma | L | 76 | PTFE | DS |
27 | Breast carcinoma | A | 44 | Titanium mesh | DS |
Anatomical defect | Cases |
---|---|
Anterior costal | 8 |
Lateral costal | 4 |
Superior sternal | 11 |
Medium sternal | 4 |
Complication | Cases |
---|---|
Chronic cutaneous fistula | 1 |
Change of prosthesis | 1 |
Persistent seroma (> 15 days) | 2 |
Partial flap necrosis | 4 |
Perioperative death | 2 |