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Reconstruction of thoracic wall defects after tumor resection using a polytetrafluoroethylene soft tissue (Gore-Tex) patch

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Abstract

Background: Recently, there have been a few reports recommending use of a 2 mm thick polytetrafluoroethylene soft tissue (Gore-Tex) patch for repair of thoracic wall defects. The potential role of these Gore-Tex patches was examined. Methods: Five patients underwent chest wall tumor resection with thoracic wall reconstruction using a Gore-Tex patch (2mm). We present a review of the complications experienced by five patients with Gore-Tex patches, as well as a review of the literature. Results: Functionally and cosmetically, satisfactory results were obtained for 5 patients with Gore-Tex patch. There were no cases of infectious complications. However, we experienced one case of a flail chest postoperatively, in which reconstruction with two Gore-Tex patches of 30 × 15 cm, and 3 days of mechanical ventilation and chest wall support was needed. Conclusion: Our experience with Gore-Tex patches has been positive, and we recommend patch closure for thoracic wall defects.

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Authors and Affiliations

  1. Department of Surgery, The Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku Tokyo, 105-8461, Japan

    Tadashi Akiba MD, Masamichi Takagi MD, Hisashi Shioya MD, Hideaki Kurihara MD, Shuji Sato MD & Yoji Yamazaki MD

Authors
  1. Tadashi Akiba MD
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  2. Masamichi Takagi MD
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  3. Hisashi Shioya MD
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  4. Hideaki Kurihara MD
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  5. Shuji Sato MD
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  6. Yoji Yamazaki MD
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Akiba, T., Takagi, M., Shioya, H. et al. Reconstruction of thoracic wall defects after tumor resection using a polytetrafluoroethylene soft tissue (Gore-Tex) patch. Jpn J Thorac Caridovasc Surg 46, 526–529 (1998). https://doi.org/10.1007/BF03250592

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  • DOI: https://doi.org/10.1007/BF03250592

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