[Two methods of plastic reconstruction of extensive defects of the chest wall (experimental study)]

The authors examine results from the experimental using two new methods for surgical reconstruction of broad defects of the chest wall. Our study was applied to 18 dogs separated in two series. In the first group of 8 dogs we used bone-muscle lambo for plastic reconstruction formed from the scapula and m.serratus anterior. This autotransplantation tissue was fixed for the neighbouring ribs limiting the defect of the chest wall. A good hermetisation of the pleural cavity and stabilisation of the chest wall was achieved. In the second group of 10 dogs the chest wall defects was closed with special antimicrobal chest prosthesis. It is built up by synthetic net and synthetic ribs. The antimicrobic qualities are being preserved for a continuous period of time. Histological the animals from the first group show the creation of a stabile fibrosis-bone-muscle laver which creates stability and hermetically of the chest cell. The synthetical ribs of the animals from the second group are tightly embraced by cellular tissue that passes through the openings of the ribs. The clinical observations of this methods are an object of another report of ours.