Background: Resection of chest wall tumors is a key step in multimodal treatment. In children and adolescents, planning a proper reconstruction is challenging, as the future growth of the chest wall should be foreseen and considered.Case Description: We present the satisfactory preliminary results of a case series. This is the first study regarding an original semi-rigid reconstruction technique following chest wall resection in children and adolescents operated for chest-wall tumors. We present the recent experience of 5 patients (age 12-18 years), treated by chest wall resection and reconstruction using a Polypropylene knitted mesh, technically adapted to obtain a semi-rigid prosthesis. A narrative review was performed through an electronic search for relevant studies from January 1990 to April 2022 in the following databases: PubMed, Science Direct, Embase, Scopus and Cochrane. Our reconstruction technique warranted good aesthetic and functional results in the short and medium term (follow-up 10-24 months). Currently we have not observed significant deformation of chest wall related to the surgical intervention.
Conclusions:The use of a semi-rigid reconstruction technique following chest wall resection in patient during the growing age could provide satisfactory results without pulmonary impairment, long-term deformation and scoliosis-development, but long-term follow-up is still ongoing.