Skip to main content

Advertisement

Log in

Innovative Technique of Chest Wall Reconstruction After Extensive Tumour Ablation Surgery

  • Case Report
  • Published:
Indian Journal of Surgical Oncology Aims and scope Submit manuscript

Abstract

Chest wall reconstruction is among one of the most challenging surgeries because the defect comprises multiple components and each needs to be reconstructed separately with like tissues. Chest wall reconstruction ranges from simple skin cover to complex bony and or mediastinal/precordial reconstruction. Various methods of reconstruction include autologous as well alloplastic techniques. Autologous techniques include regional or distant flaps with or without bone. Whereas alloplastic techniques include the placement of a variety of implant materials like titanium plate/mesh, stainless steel mesh, medpore and biocompatible 3D-printed models. we present this article where extensive resection was performed, aiming to complete removal of recurrent chest wall chondrosarcoma and defect included all components of chest wall including precordial lining. The reconstruction was performed by using combined autologous as well as alloplastic techniques using acrylic implant.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Data Availability

Data related to this article is available in the record section of our institute.

References

  1. De Palma A et al (2016) Chest wall stabilization and reconstruction: short and long-term results 5 years after the introduction of a new titanium plates system. J Thorac Dis 8:490–498

    Article  PubMed  PubMed Central  Google Scholar 

  2. Mahabir RC, Butler CE (2011) Stabilization of the chest wall: autologous and alloplastic reconstructions. Semin Plast Surg 25:34–42

    Article  PubMed  PubMed Central  Google Scholar 

  3. Luigi C et al (2004) Cranioplasty using acrylic material: a new technical procedure. J Craniomaxillofac Surg 32(1):5–9

    Article  Google Scholar 

  4. Pandey S et al (2017) Mnemonics for gillies principles of plastic surgery and it importance in residency training programme. Indian J Plast Surg 50:114–5

    Article  PubMed  PubMed Central  Google Scholar 

  5. Harati K, Kolbenschlag J, Behr B, Goertz O (2015) Tobias Hirsch, Nicolai Kapalschinski, Andrej Ring, Marcus Lehnhardt and Adrien Daigeler Thoracic wall reconstruction after tumor resection. Front Oncol 5:247

    PubMed  PubMed Central  Google Scholar 

  6. Watanabe A, Watanabe T, Obama T, Ohsawa H, Mawatari T, Ichimiya Y et al (2003) New material for reconstruction of the anterior chest wall, including the sternum. J Thorac Cardiovasc Surg 126(4):1212–1214. https://doi.org/10.1016/S0022-5223(03)00933-4

    Article  PubMed  Google Scholar 

  7. Urna A, Kavakli K, Sapmaz E, Arslan H, Caylak H, Gokce HS et al (2014) Reconstruction with a patient-specific titanium implant after a wide anterior chest wall resection. Interact Cardiovasc Thorac Surg 18(2):234–236

    Article  Google Scholar 

  8. Bakri K, Mardini S, Evans KK, Carlsen BT, Arnold PG (2011) Workhorse flaps in chest wall reconstruction: the pectoralis major, latissimus dorsi, and rectus abdominis flaps. Semin Plast Surg 25(1):43–54. https://doi.org/10.1055/s-0031-1275170

    Article  PubMed  PubMed Central  Google Scholar 

  9. Lee AB Jr, Schimert G, Shaktin S, Seigel JH (1976) Total excision of the sternum and thoracic pedicle transposition of the greater omentum; useful strategems in managing severe mediastinal infection following open heart surgery. Surgery 80(4):433–436

    PubMed  Google Scholar 

  10. Gravina PR et al (2021) Sternal defect reconstruction using a double-barrel vascularised free fibula flap: a case report. Arch Plast Surg 48(5):498–502

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

The authors deeply thank Dr S. J. A. Zaidi for his dedicated efforts for obtaining cadaveric chest wall, making impressions and acrylization of the implant.

Author information

Authors and Affiliations

Authors

Contributions

Sandhya Pandey was responsible for concept, manuscript writing and clinical management of the patient. Vijay Kumar assisted in surgical management. Vikas Sharma is responsible for formatting the revised manuscript. Shailendra Yadav assisted in surgical management.

Corresponding author

Correspondence to Sandhya Pandey.

Ethics declarations

Consent to Participate

The authors certify that they have obtained all appropriate patient consent forms from patient. Consent for surgery, image, publication etc. are taken.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kumar, V., Pandey, S., Sharma, V. et al. Innovative Technique of Chest Wall Reconstruction After Extensive Tumour Ablation Surgery. Indian J Surg Oncol 15, 364–368 (2024). https://doi.org/10.1007/s13193-024-01890-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13193-024-01890-5

Keywords

Navigation