| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2002;73:1720-1726
© 2002 The Society of Thoracic Surgeons
a Joseph B. Whitehead Department of Surgery, Divisions of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia USA
b Joseph B. Whitehead Department of Surgery, division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, Georgia USA
* Address reprint requests to Dr Mansour, 1365 Clifton Rd, The Emory Clinic, Atlanta, GA 30322 USA
e-mail: kamalmansour{at}emoryheathcare.org
Presented at the Forty-eighth Annual Meeting of the Southern Thoracic Surgical Association, San Antonio, TX, Nov 8–10, 2001.
Background. Chest wall defects continue to present a complicated treatment scenario for thoracic and reconstructive surgeons. The purpose of this study is to report our 25-year experience with chest wall resections and reconstructions.
Methods. A retrospective review of 200 patients who had chest wall resections from 1975 to 2000 was performed.
Results. Patient demographics included tobacco abuse, hypertension, diabetes mellitus, alcohol abuse, coronary artery disease, chronic obstructive pulmonary disease, and human immunodeficiency virus. Surgical indications included lung cancer, breast cancer, chest wall tumors, and severe pectus deformities. Twenty-nine patients had radiation necrosis and 31 patients had lung or chest wall infections. The mean number of ribs resected was 4 ± 2 ribs. Fifty-six patients underwent sternal resections. In addition 14 patients underwent forequarter amputations. Immediate closure was performed in 195 patients whereas delayed closure was performed in 5 patients. Primary repair without the use of reconstructive techniques was possible in 43 patients. Synthetic chest wall reconstruction was performed using Prolene mesh, Marlex mesh, methyl methacrylate sandwich, Vicryl mesh, and polytetrafluoroethylene. Flaps utilized for soft tissue coverage were free flap (17 patients) and pedicled flap (96 patients). Mean postoperative length of stay was 14 ± 14 days. Mean intensive care unit stay was 5 ± 9 days. In-hospital and 30-day survival was 93%.
Conclusions. Chest wall resection with reconstruction utilizing synthetic mesh or local muscle flaps can be performed as a safe, effective one-stage surgical procedure for a variety of major chest wall defects.
This article has been cited by other articles:
|
|
 |
|
  X. Qin, H. Tang, Z. Xu, X. Zhao, Y. Sun, Z. Gong, and L. Duan Chest wall reconstruction with two types of biodegradable polymer prostheses in dogs Eur. J. Cardiothorac. Surg., October 1, 2008; 34(4): 870 - 874. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Voss, R. Bauernschmitt, A. Will, M. Krane, R. Kross, G. Brockmann, P. Libera, and R. Lange Sternal reconstruction with titanium plates in complicated sternal dehiscence. Eur. J. Cardiothorac. Surg., July 1, 2008; 34(1): 139 - 145. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Friedel, T. Kuipers, J. Dippon, F. Al-Kammash, T. Walles, T. Kyriss, S. Veit, M. Greulich, and V. Steger Full-thickness resection with myocutaneous flap reconstruction for locally recurrent breast cancer. Ann. Thorac. Surg., June 1, 2008; 85(6): 1894 - 1900. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Voss, R. Bauernschmitt, G. Brockmann, and R. Lange Osteosynthetic thoracic stabilization after complete resection of the sternum Eur. J. Cardiothorac. Surg., August 1, 2007; 32(2): 391 - 393. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Rathinam, P. B. Rajesh, and F. J. Collins Chest wall and sternal resection and reconstruction MMCTS, March 29, 2007; 2007(0329): 1784. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. Weyant, M. S. Bains, E. Venkatraman, R. J. Downey, B. J. Park, R. M. Flores, N. Rizk, and V. W. Rusch Results of Chest Wall Resection and Reconstruction With and Without Rigid Prosthesis Ann. Thorac. Surg., January 1, 2006; 81(1): 279 - 285. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Novoa, P. Benito, M. F. Jimenez, A. de Juan, J. Luis Aranda, and G. Varela Reconstruction of chest wall defects after resection of large neoplasms: ten-year experience Interactive CardioVascular and Thoracic Surgery, June 1, 2005; 4(3): 250 - 255. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. E. Reed General thoracic surgery and the Southern Thoracic Surgical Association: the second 25 years Ann. Thorac. Surg., November 1, 2003; 76(90050): S14 - 16. [Full Text] [PDF]
|
|
|
|
|
|
C. Mavroudis and R. M. Sade The Southern Thoracic Surgical Association 50th anniversary celebration: the impact of STSA pediatric cardiothoracic surgery manuscripts on surgical practice Ann. Thorac. Surg., November 1, 2003; 76(90050): S47 - 67. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Karmy-Jones and E. Vallieres Non-small Cell Lung Cancer With Chest Wall Involvement Chest, May 1, 2003; 123(5): 1323 - 1325. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
