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Using polypropylene mesh graft for soft-tissue reconstruction in internal hemipelvectomy: a case report
Apichat Asavamongkolkul1, Saranatra Waikakul
1Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkok, 10700, Thailand. siaas@mahidol.ac.th
World Journal of Surgical Oncology
|June 30, 2012
Summary
This study details a case of pelvic chondrosarcoma treated with hemipelvectomy and polypropylene mesh for soft-tissue reconstruction. The technique resulted in favorable oncological and functional outcomes after 7.5 years.
Area of Science:
- Orthopedic Oncology
- Surgical Reconstruction
Background:
- Chondrosarcoma is a malignant tumor of cartilage.
- Pelvic chondrosarcoma presents unique challenges due to complex anatomy.
- Internal hemipelvectomy is a surgical option for extensive pelvic tumors.
Observation:
- A 45-year-old male patient presented with chondrosarcoma of the right pelvis and contralateral pubic area.
- The patient underwent an extensive internal hemipelvectomy without immediate bony reconstruction.
Findings:
- Polypropylene mesh graft was utilized for soft-tissue reconstruction following the hemipelvectomy.
- A 7.5-year follow-up demonstrated positive oncological control.
- The patient achieved a good functional outcome post-surgery.
Implications:
- This case highlights the efficacy of polypropylene mesh in soft-tissue reconstruction after extensive pelvic resections.
- The findings suggest a viable reconstructive strategy for complex pelvic tumors.
- Long-term oncological and functional success is achievable with this approach.
