Chest wall and diaphragm reconstruction; a technique not well established in literature

Abstract

Introduction: The treatment for most primary chest wall tumors is wide excision. After radical chest wall resection, skeletal reconstruction, when appropriate to preserve the reconstruction, is the essential element for successful management. Case presentation: We describe a case of a 27-year-old male patient who had chest wall and diaphragm reconstruction for a recurrent chest wall tumor, using a single patch of Polytetrafluoroethylene (PTFE) mesh with diaphragm implanted into the middle of the mesh. There were no operative complications. The patient received post-operative radiotherapy with good functional and cosmetic results. Conclusion: We present a novel and safe technique resulting in stable results after full-thickness multi-rib chest wall resections involving the diaphragm.