Chest Wall Reconstruction after Surgical Resection: An Approach towards Various Techniques and Materials

Extensive chest wall excision and rebuilding is a difficult treatment that necessitates a multidisciplinary approach involving thoracic, plastic, and oncology. Neoplastic chest wall diseases have a high surgical morbidity rate and can result in full thickness abnormalities that are difficult to repair. The objectives of a successful chest wall reconstruction are to restore rigidity to the chest wall, retain ventilatory mechanics, and protect the intrathoracic organs. To restore thoracic cage rigidity, large full thickness defects require restoration with synthetic, biologic, or composite meshes with or without titanium plate. Direct sutures, skin grafts or local advancement flaps, pedicled myocutaneous flaps, or free flaps can be used to ensure full tissue covering if skeletal stability is established. The goal of this chapter is to show the indications for chest wall reconstruction as well as the various materials and techniques that can be used to achieve the greatest chest wall stiffness and soft tissue coverage.

Author (S) Details

Stefano Sanna
Thoracic Surgery Unit, Department of Thoracic Diseases, University of Bologna, G.B. Morgagni Hospital, Forli, Italy.

Angelo Ciarrocchi
Thoracic Surgery Unit, Department of Thoracic Diseases, University of Bologna, G.B. Morgagni Hospital, Forli, Italy.

Alessio Campisi
Thoracic Surgery Unit, Department of Thoracic Diseases, University of Bologna, G.B. Morgagni Hospital, Forli, Italy.

Sara Mazzarra
Thoracic Surgery Unit, Department of Thoracic Diseases, University of Bologna, G.B. Morgagni Hospital, Forli, Italy.

Desideria Argnani
Thoracic Surgery Unit, Department of Thoracic Diseases, University of Bologna, G.B. Morgagni Hospital, Forli, Italy.

Fabio Davoli
Thoracic Surgery Unit, Department of Thoracic Diseases, University of Bologna, G.B. Morgagni Hospital, Forli, Italy.

Stefano Congiu
Thoracic Surgery Unit, Department of Thoracic Diseases, University of Bologna, G.B. Morgagni Hospital, Forli, Italy.

Franco Stella
Thoracic Surgery Unit, Department of Thoracic Diseases, University of Bologna, G.B. Morgagni Hospital, Forli, Italy.

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