Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Indication and method of chest wall reconstruction]

K Yokote1, H Osada

  • 1Third Department of Surgery, St. Marianna Medical College, Kawasaki, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|January 1, 1996
PubMed
Summary

Chest wall reconstruction is indicated for defects larger than 100 cm², especially after extensive rib resections. Muscle flaps and Marlex mesh are recommended for optimal chest wall reconstruction outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A multi-centre, retrospective case series of oocyte cryopreservation in unmarried women diagnosed with haematological malignancies.

Human reproduction open·2021
Same author

Drain outlets in patient rooms as sources for invasive fusariosis: an analysis of patients with haematological disorders.

The Journal of hospital infection·2020
Same author

Prematurely ruptured dominant follicles often retain competent oocytes in infertile women.

Scientific reports·2019
Same author

A case of feline gastrointestinal eosinophilic sclerosing fibroplasia limited to the mesentery.

The Journal of small animal practice·2018
Same author

Frequent somatic mutations in epigenetic regulators in newly diagnosed chronic myeloid leukemia.

Blood cancer journal·2017
Same author

Impact of combinatorial dysfunctions of Tet2 and Ezh2 on the epigenome in the pathogenesis of myelodysplastic syndrome.

Leukemia·2016

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Reconstructive Surgery

Background:

  • Chest wall resections are performed for various conditions, including tumors and cancer.
  • Historically, methyl methacrylate (Resin) was used for chest wall reconstruction, but complications arose.
  • Advances in surgical techniques have led to improved methods for chest wall defect repair.

Purpose of the Study:

  • To evaluate the outcomes of chest wall reconstruction in patients undergoing resection.
  • To compare different reconstruction methods, including methyl methacrylate, muscle flaps, and Marlex mesh.
  • To establish criteria for indicating chest wall reconstruction based on defect size and location.

Main Methods:

  • Retrospective review of 52 patients with chest wall resection, focusing on 16 who underwent reconstruction.
  • Analysis of reconstruction techniques used before and after 1986 (methyl methacrylate vs. muscle flaps/Marlex mesh).
  • Assessment of postoperative complications, including skin erosion, wound healing, paradoxical movement, and respiratory distress.

Main Results:

  • Methyl methacrylate reconstruction led to skin erosion and delayed healing in one patient.
  • Muscle flaps and/or Marlex mesh reconstruction in 12 patients resulted in no paradoxical movement or respiratory distress.
  • One patient undergoing resection without reconstruction developed respiratory failure.

Conclusions:

  • Chest wall reconstruction is indicated for defects >100 cm², particularly after resecting 3+ anterior or 4+ lateral ribs.
  • Muscle or myocutaneous flaps combined with Marlex mesh represent the preferred method for chest wall reconstruction.
  • These advanced techniques improve patient outcomes and minimize postoperative complications after extensive chest wall resections.

Related Experiment Videos