The painless combination of anatomically contoured titanium plates and porcine dermal collagen patch for chest wall reconstruction

Ong, K. C. G.; Ong, Chin Siang; Chua, Ying Xian; Fazuludeen, Ali Akbar; Ahmed, Aneez D.B.

doi:10.21037/jtd.2018.04.116

Cited by 7 publications

(6 citation statements)

References 24 publications

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“…Thoracic cage reconstruction maintains anatomical and structural stability, protects vital organs, and helps sustain the respiratory mechanism. The procedure is required in 40–60% of individuals who have undergone thoracotomy (1,9,11). Reconstruction is required for individuals with ≥3 resected ribs and defects that are ≥5 cm in diameter or even for patients with smaller defects and cases of suspected thoracic cage instability (9–11,13,19).…”

Section: Discussionmentioning

confidence: 99%

“…The procedure is required in 40–60% of individuals who have undergone thoracotomy (1,9,11). Reconstruction is required for individuals with ≥3 resected ribs and defects that are ≥5 cm in diameter or even for patients with smaller defects and cases of suspected thoracic cage instability (9–11,13,19). Furthermore, because anterior and anterolateral movements are greater than posterior movements, thoracic cage reconstruction is often required (19).…”

Section: Discussionmentioning

confidence: 99%

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Surgical complication and postoperative pulmonary function in patients undergoing tumor surgery with thoracic wall resection

et al. 2019

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Postoperative complications of thoracic wall resection include respiratory complications, skin necrosis and infection. The aim of the present study was to examine postoperative complications in patients who required combined thoracic wall resection during the surgical removal of a tumor. The present study included 68 patients; there were 50 patients with lung tumors and 18 patients with musculoskeletal tumors. The clinical factors associated with complications were compared between the two groups. Preoperative and postoperative pulmonary function tests were performed to examine the residual pulmonary function in 16 patients. Thoracic cage reconstruction was performed in 46 patients. Postoperative complications occurred in 30 (44.1%) patients, and one patient died from postoperative pneumonitis. Compared with the pulmonary function preoperative test results, the postoperative results revealed a decrease in the mean vital capacity percentage and an increase in the mean forced expiratory volume within 1 sec as a percent of the forced vital capacity. In patients with lung tumors, pneumonectomy can result in an increased rate of complications following thoracic wall resection. Residual pulmonary function is affected by impaired thoracic cage expansion and removal of the lung. However, the results of the present study demonstrated that these complications can be somewhat stabilized by thoracic wall reconstruction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Surgical complication and postoperative pulmonary function in patients undergoing tumor surgery with thoracic wall resection

et al. 2019

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“…[2] Biomaterials represent a valuable option in the management of patients with infected chest wall sites. [12]…”

Section: Discussionmentioning

confidence: 99%

Free vastus lateralis musculocutaneous flap transfer for radiation-induced chest wall fistula combined with osteomyelitis

Xia

Shen

et al. 2019

Medicine

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Rationale: Chronic chest wall fistula is a refractory and agonizing disease that results from multiple predisposing etiologies, including radiation-induced damage. Successful management remains challenging when this condition is combined with osteomyelitis, and a limited number of reports have been published in the literature concerning this management. Patient concerns: Two Chronic chest wall fistula patients were selected to undergo surgery in our hospital because they could not be cured by conventional therapy for several years. One is a 74-year-old female who has received a right radical mastectomy and had radiation therapy 23 years ago; the other is a 59-year-old male who underwent a excision of thyroid cancer and had chemoradiation therapy 20 years earlier. Diagnosis: Both patients were diagnosed with radiation-induced chest wall fistula combined with osteomyelitis. Interventions: After total resection of the diseased chest walls, both patients underwent free vastus lateralis musculocutaneous flap transfers, in which the vessels were microvascularly anastomosed to the transverse carotid artery and vein via a subcutaneous tunnel or a direct incision. Histologic evaluations of the specimens demonstrated inflammation and osteomyelitis. Outcomes: The patients recovered very well and currently have no recurrence of chest wall fistulae during the postoperative follow-up. Lessons: It is crucial to not only completely resect chest wall fistulae and the surrounding diseased tissues but also reconstruct the chest wall. Thus, the use of the free vastus lateralis musculocutaneous flap transfer method for radiation-induced chest wall fistulae, combined with osteomyelitis, is a useful option for treatment and is also a feasible and efficient surgical procedure with promising results.

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“…The titanium plates are usually implanted at a 2:1 ratio, depending on the number of ribs resected ( 64 ). Moreover, if an acellular collagen matrix prosthesis is selected, a combination of titanium plates and an acellular collagen matrix patch can be used ( 65 , 66 ). Another approach involves using titanium plates without an internal coverage material ( 7 , 13 , 22 , 33 , 38 , 53 ).…”

Section: Surgical Techniques and Prosthesismentioning

confidence: 99%

The sternum reconstruction: Present and future perspectives

et al. 2022

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Sternectomy is a procedure mainly used for removing tumor masses infiltrating the sternum or treating infections. Moreover, the removal of the sternum involves the additional challenge of performing a functional reconstruction. Fortunately, various approaches have been proposed for improving the operation and outcome of reconstruction, including allograft transplantation, using novel materials, and developing innovative surgical approaches, which promise to enhance the quality of life for the patient. This review will highlight the surgical approaches to sternum reconstruction and the new perspectives in the current literature.

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The painless combination of anatomically contoured titanium plates and porcine dermal collagen patch for chest wall reconstruction

Abstract: Our early experience indicates that the combination of the MatrixRib system and Permacol patch for chest wall reconstruction is safe and feasible with promising results in terms of anatomical restoration of the chest wall mechanics, infection and pain.

Cited by 7 publications

References 24 publications

Surgical complication and postoperative pulmonary function in patients undergoing tumor surgery with thoracic wall resection

Surgical complication and postoperative pulmonary function in patients undergoing tumor surgery with thoracic wall resection

Free vastus lateralis musculocutaneous flap transfer for radiation-induced chest wall fistula combined with osteomyelitis

The sternum reconstruction: Present and future perspectives

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