Long-term results of chest wall reconstruction with DualMesh

Abstract

The aim of this study was to evaluate the clinical outcomes of chest wall reconstruction using a new, expanded polytetrafluoroethylene prosthesis, 'DualMesh'. Between December 2005 and March 2010, chest wall reconstruction using 2-mm DualMesh was performed in 11 patients. The indication for resection was primary lung cancer in six patients, malignant mesothelioma in one patient, recurrent lung cancer in one patient, recurrent invasive thymoma in one patient, postirradiated osteomyelitis in one patient, and chondro-hamartoma in one patient. The mean observation period was 23 months, and four cases were observed for more than three years. There were no operative deaths and no wound infections. There were two postoperative complications: prolonged air leakage occurred in a patient with pulmonary emphysema who underwent right lower lobectomy, and slight paradoxical respiration occurred in the patient who underwent resection of the entire sternal body for osteomyelitis. Follow-up chest computed tomography was performed routinely. No dehiscence occurred in any cases. Chest wall reconstruction using DualMesh demonstrated acceptable durability and biocompatibility, even after long-term follow-up. DualMesh has the potential to become an ideal prosthesis for the bony chest wall as an alternative to conventional polytetrafluoroethylene or polypropylene grafts.

A Rare Case of Primary Intercostal Leiomyoma: Complete Resection Followed by Reconstruction Using a Gore-Tex® Dual Mesh

“…Use of a chest drain under negative pressure may prevent complications of seroma and infection; however, it also facilitates a high degree of adhesion between the dual mesh and adjacent tissues. 12,15) In this case, the postoperative course was uneventful, and the chest wall deformity was perfectly reconstructed by the dual mesh as evidenced by 3-D CT. On the basis of our experience, we propose chest wall reconstruction using a dual mesh as a safe and effective procedure.…”

“…The smoother surface is designed for minimal tissue attachment, whereas the patterned, indented surface is designed for active tissue attachment. 12) This material has been successfully used for the repair and reconstruction of the abdominal wall in cases of ventral incisional hernia or large hiatal hernia; 13,14) however, only a few surgeons have reported lateral chest wall reconstruction using Gore-Tex ® dual mesh. 12,15) The advantages of this material are its ability to stabilize the chest wall and the development of fewer adhesions to inner organs.…”

Long-Term Results of Chest Wall Reconstruction After Tumor Resection Using TiNi Implants

“…А variety defects of available reconstructive techniques, first of all, testifies to the lack of а multipurpose effective method of the chest rib replacement [4,5,6,7]. The main demands for the implants are the following: biocompatibility, corrosion stability, ability to maintain the fixed form for а long time [8,9,10]. One of the variants of solving the given problems is represented in the report.…”

Chest Wall Reconstruction using Gore-Tex^|^#174; Dual Mesh

“…1,2) In contrast, chest wall reconstruction using dual mesh has not been widely documented. Nagayasu et al reported results of the reconstruction after rib resections by using dual mesh, 3) and three reports describe the use of dual mesh after a sternal resection. [3][4][5] To evaluate the feasibility of dual mesh for reconstructing the chest wall, we reviewed our experience from patient charts.…”

“…Nagayasu et al reported results of the reconstruction after rib resections by using dual mesh, 3) and three reports describe the use of dual mesh after a sternal resection. [3][4][5] To evaluate the feasibility of dual mesh for reconstructing the chest wall, we reviewed our experience from patient charts. Our discussion particularly focused on the results of chest wall reconstruction using 2-mm GoreTex ® dual mesh.…”