ADEQUATE CHEST WALL RECONSTRUCTION FOR COMPOSITE DEFECTS ACHIEVED BY SOFT TISSUE FLAP +MESH ONLY.

Download PDF
Author(s): Fatima Askari1 , M.Ibrahim khan2 , Adeela hussain khan3 , Rafiya masud4, Shahrukh Mohmand5

Pages: 36-41 | DOI: https://doi.org/10.5455/pjps.1721573915


Background: Chest wall tumor resechious create large defects requiring composite reconstruction.
Objective: The objective of our study is to evaluate the outcomes of patient undergoing bony stabilization
with poly propylene mesh and soft tissue coverage with pedicled flaps.
Methodology: Comparative cross sectional study was done at Shifa hospital, Islamabad. 4 years period. All
patients who underwent composite chest wall reconstructions after tumor resections were included bony
stabilization was done with polypropylene mesh and soft tissue coverage was done with pedicles latissimuss
dorsi or transverse rectus abdominis. Variables assessed included tumor type, location and resected ribs and
flap used. Duration of hospital stay and any major or minor complications were noted.
Results: Total of 17 patients were included in the study. 11 (64.7%) were females and 6(35.3%) were males.
The causes were primary chest wall tumors in 12 (70.6%) and breast carcinoma in 5 (29.4%). Ribs along with
sternum were resected in 1 case and ribs only in 16 patients. The average number of ribs resected were 3.3.
The average chest wall defect was 161.1cm (ranging from 88cm -228 cm ). Mean postoperative hospital stay 2 2
was 7.41 days. There was no perioperative mortality.
Conclusion: Synthetic polypropylene mesh alone can be used for composite chest wall defects as it has less
infection rate than rigid prosthesis, is easy to use, safe and cost effective.
Received | 21-07-2024 Revision | 16-08-2024 Accepted | 16-08-2024
CorrespondingAuthor | Dr. FatimaAskari, Shifa International Hospitals, Islamabad
Email: fatima.askari89@gmail.com
Keywords | ChestWall, Defects, Reconstruction, pedicle Flaps, Nonrigid, Mesh.