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Total sternectomy for malignant disease

F París, E Blasco, V Tarazona

    The Journal of Thoracic and Cardiovascular Surgery
    |September 1, 1980
    PubMed
    Summary
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    This study details six total sternectomies for sternal malignancy, focusing on chest wall reconstruction. Reconstruction involved silicone rubber, steel struts, and methylmethacrylate for effective defect closure.

    Area of Science:

    • Thoracic surgery
    • Surgical oncology
    • Biomaterials science

    Background:

    • Malignant diseases of the sternum necessitate surgical intervention, often requiring extensive resection.
    • Reconstruction of large chest wall defects following sternectomy presents significant challenges.

    Purpose of the Study:

    • To describe the surgical technique and outcomes of total sternectomy for malignant sternal disease.
    • To evaluate a specific method of chest wall reconstruction following sternectomy.

    Main Methods:

    • Performed six total sternectomies for malignant sternal tumors between 1972 and 1978.
    • Reconstructed chest wall defects using silicone rubber sheeting, stainless steel struts, and methylmethacrylate.
    • Detailed surgical technique, including material preparation and application.

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    Main Results:

    • Successfully reconstructed sternal defects in all six patients.
    • Ensured chest wall stability and defect coverage using the described prosthetic approach.
    • Discussed the advantages and technical aspects of this multi-component reconstruction.

    Conclusions:

    • Total sternectomy combined with silicone rubber, stainless steel struts, and methylmethacrylate provides a viable method for chest wall reconstruction.
    • Careful surgical technique, antibiotic use, drainage, and pre-operative biopsy are crucial for successful outcomes in sternal tumor resection.