A new chest wall reconstruction: a three-layer technique

Soft tissue sarcomas are rare tumors that represents less than 1% of all neoplasms and only 5.3% of these tumors arises in the chest wall. After resection of these tumors, the defects generated by radical surgery especially when sternum or three or more ribs are resected represent a challenge to the surgeons because of the defect itself and pulmonary physiology alterations. The authors describe a new three-layer technique for chest wall reconstruction, based upon steel stitches, polypropylene mesh and myocutaneous flaps performed in six consecutive patients.