Resection to restoration: Assessing the synergy of polypropylene mesh (Marlex®) combined with methyl-methacrylate and latissimus dorsi flap for primary chest wall sarcomas.
J Plast Reconstr Aesthet Surg
; 93: 157-162, 2024 Jun.
Article
in En
| MEDLINE
| ID: mdl-38691953
ABSTRACT
BACKGROUND:
Chest-wall sarcomas are treated with extensive resections and complex defect reconstruction to restore chest-wall integrity. It is a difficult surgical procedure that incorporates a multidisciplinary approach for the best outcome, preventing paradoxical chest movement issues and reducing complications.OBJECTIVE:
We aimed to describe our experience of chest-wall reconstruction using polypropylene mesh (Marlex® Mesh) combined with methyl-methacrylate and soft-tissue coverage with a latissimus dorsi flap following sarcoma resection. PATIENTS ANDMETHODS:
Among the 53 patients treated for primary chest-wall sarcomas at the European Institute of Oncology (IEO) in Milan, Italy, from 1998 to 2020, 14 cases underwent chest-wall resection and reconstruction using polypropylene mesh, methyl-methacrylate and the latissimus dorsi flap. Patients with locally advanced breast cancers, locally advanced lung cancers, squamous cell carcinomas, and other secondary chest-wall malignancies were excluded from the study, as were the patients with different types of chest-wall reconstruction.RESULTS:
In this study, 14 patients (6 men and 8 women) with various primary chest-wall sarcomas were enrolled. On an average, 2 ribs (range 1-5) were removed during the surgeries, and the chest-wall defects ranged from 20 to 150 cm2 with an average size of 73 cm2. The mean follow-up period for these patients was approximately 63.80 monthsCONCLUSION:
The combination of Marlex® mesh filled with methyl-methacrylate and covered using latissimus dorsi myocutaneous flap provides safe, low-cost and effective single-stage chest-wall reconstruction after surgery for primary sarcomas.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Polypropylenes
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Sarcoma
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Surgical Mesh
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Plastic Surgery Procedures
/
Methylmethacrylate
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Thoracic Wall
/
Superficial Back Muscles
Limits:
Adult
/
Aged
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Female
/
Humans
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Male
/
Middle aged
Language:
En
Journal:
J Plast Reconstr Aesthet Surg
/
J. plast. reconstr. aesthet. surg
/
Journal of plastic, reconstructive and aesthetic surgery
Year:
2024
Document type:
Article
Affiliation country:
Italia
Country of publication:
Países Bajos