Adequate Chest Wall Reconstruction for Composite Defects Achieved by Soft Tissue Flap + Mesh Only | [Pakistan Journal of Plastic Surgery • 2025]

Author(s):

1. Fatima Askari: Shifa International Hospitals, Islamabad, Pakistan

2. Saad-ur-Rehman: Shifa International Hospitals, Islamabad, Pakistan

3. M. Ibrahim Khan: Shifa International Hospitals, Islamabad, Pakistan

4. Rafiya Masud: Shifa International Hospitals, Islamabad, Pakistan

5. Shahrukh Mohmand: Shifa International Hospitals, Islamabad, Pakistan

Abstract:

Background: Chest wall tumor resechious create large defects requiring composite reconstruction. Objective: The objective of our study is to evaluate the outcomes of patient undergoing bony stabilization with poly propylene mesh and soft tissue coverage with pedicled flaps. Methodology: Comparative cross sectional study was done at Shifa hospital, Islamabad. 4 years period. All patients who underwent composite chest wall reconstructions after tumor resections were included bony stabilization was done with polypropylene mesh and soft tissue coverage was done with pedicles latissimuss dorsi or transverse rectus abdominis. Variables assessed included tumor type, location and resected ribs and flap used. Duration of hospital stay and any major or minor complications were noted. Results: Total of 17 patients were included in the study. 11 (64.7%) were females and 6(35.3%) were males. The causes were primary chest wall tumors in 12 (70.6%) and breast carcinoma in 5 (29.4%). Ribs along with sternum were resected in 1 case and ribs only in 16 patients. The average number of ribs resected were 3.3. The average chest wall defect was 161.1cm2 (ranging from 88cm -228 cm2). Mean postoperative hospital stay was 7.41 days. There was no perioperative mortality. Conclusion: Synthetic polypropylene mesh alone can be used for composite chest wall defects as it has less infection rate than rigid prosthesis, is easy to use, safe and cost effective.

Page(s): 6-11

DOI: 10.5455/pjps.1721573915

Published: Journal: Pakistan Journal of Plastic Surgery, Volume: 13, Issue: 1, Year: 2025

Keywords:

Reconstruction , Defects , Nonrigid , ChestWall , pedicle Flaps , Mesh

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