2019
DOI: 10.1055/s-0039-1694033 View full text |Buy / Rent full text
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Abstract: 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. … Show more

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“…Anterior chest wall reconstruction using polypropylene mesh is safe with acceptable postoperative outcomes regarding anterior wall retraction and reformation of the chest cavity, with no signs of chronic chest wall instability or acute postoperative flail chest requiring prolonged mechanical ventilation. 6 Considering the cost-effectiveness, availability, safety, and acceptable postoperative outcome, polypropylene mesh can be used for anterior chest wall reconstruction when rigid prosthetic materials are not available or affordable. The choice of flap depends on the extent of the defect, its location, and donor site availability.…”
Section: Discussionmentioning
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“…Anterior chest wall reconstruction using polypropylene mesh is safe with acceptable postoperative outcomes regarding anterior wall retraction and reformation of the chest cavity, with no signs of chronic chest wall instability or acute postoperative flail chest requiring prolonged mechanical ventilation. 6 Considering the cost-effectiveness, availability, safety, and acceptable postoperative outcome, polypropylene mesh can be used for anterior chest wall reconstruction when rigid prosthetic materials are not available or affordable. The choice of flap depends on the extent of the defect, its location, and donor site availability.…”
Section: Discussionmentioning
“…These complications can be avoided by this procedure. 7 In our experience with rib ORIF, occasionally, a gap is noticed in the intercostal muscles between two adjacent fractured ribs after repair. However, no attempt at primary repair is usually made for the same in that setting.…”
mentioning
“…Biological mesh is also associated with an increased cost. These complications can be avoided by this procedure 7…”
Section: Figurementioning
“…33 Besides, PP can be safely used for anterior chest wall reconstruction. 8 Methyl methacrylate as a further alternative has the advantage to be 3D-printable, allowing to adapt for any patient-specific anatomical condition. 11 Also prolene was reported to be successfully applied for skeletal for during chest wall reconstruction.…”
Section: Grafts For Chest Wall Repairmentioning
“…4,5 Reconstruction based on titanium combined with biologicals, such as fasciocutaneous and myocutaneous flaps, is a conventional technique which is reported to be very effective. 6,7 Other methods include less rigid grafts like polypropylene [7][8][9] or a prolene mesh. 10 In contrast, rigidity is added with grafts made of methyl acrylate.…”
Section: Introductionmentioning