Thorac Cardiovasc Surg 2002; 50(6): 361-363
DOI: 10.1055/s-2002-35740
Case Report
© Georg Thieme Verlag Stuttgart · New York

Pros and Cons of Chest Wall Reconstruction Using Prosthetic Meshes in a Two-Layer Fashion

K.  Kodama1 , M.  Higashiyama1 , N.  Higaki1 , K.  Takami1
  • 1Department of Thoracic Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan
Weitere Informationen

Publikationsverlauf

Received April 25, 2002

Publikationsdatum:
28. November 2002 (online)

Abstract

A 46-year-old woman with giant chondrosarcoma of the sternum underwent wide full-thickness resection of the anterior chest wall, which included the pericardium and lung. The free rectus abdominus musculocutaneous flap was transplanted onto prosthetic meshes placed in two layers. While stability and esthetic effect were both good, the subsequent infection in the space between the two meshes prolonged for one month. As a result, the space was closed with an omentum flap. As a consequence, we recommend one-stage omentopexy to prevent the space problem between the two meshes.

References

  • 1 Deschamps C, Timaksiz B M, Barbandi R. et al . Early and long-term results of prosthetic chest wall reconstruction.  J Thorac Cardiovasc Surg. 1999;  117 588-592
  • 2 Martini N, Huvos A G, Burt M E. et al . Predictors of survival in malignant tumors of the sternum.  J Thorac Cardiovasc Surg. 1996;  111 96-106
  • 3 Walsh G L, Davis B M, Swisher S G. et al . A single-institutional, multidisciplinary approach to primary sarcomas involving the chest wall requiring full-thickness resection.  J Thorac Cardiovasc Surg. 2001;  121 48-60
  • 4 Seyfer A E. Radiation-associated lesions of the chest wall.  Surg Gynecol Obstet. 1988;  167 129-131
  • 5 Cohen M, Ramasastry S S. Reconstruciton of complex chest wall defect.  Am J Surg. 1996;  172 35-40
  • 6 Wattstein R, Erni D, Berdat P. et al . Radical sternectomy and primary musculocutaneous flap reconstruction to control sternal osteitis.  J Thorac Cardiovasc Surg. 2002;  123 1185-1190

Correspondence

Ken Kodama

The Department of Thoracic Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases

1-3-3, Nakamichi

Higashinari-ku

Osaka, 537-8511

Japan

Telefon: + 81-6-6972-1181

Fax: + 81-6-6981-8055

eMail: kodama-ke@mc.pref.osaka.jp