Sternal reconstruction with synthetic mesh and metallic plates for high grade tumours of the chest wall

Antonio Briccoli, Marco Manfrini, Michele Rocca, Stefano Lari, Stefano Giacomini, Mario Mercuri

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Objective. To present our experience of reconstruction of the chest wall after sternectomy for high grade tumours. Design: Retrospective study. Setting: University hospital, Italy. Subjects: 18 patients who required sternectomy for high grade tumours. Interventions: After wide resection of the tumour the sternum and chest wall were reconstructed with polypropylene (Marlex) mesh and mouldable titanium plates. Pedicled muscle flaps were used to complete the reconstruction. Main outcome measures: Morbidity, mortality, and outcome. Results: The 18 tumours were chondrosarcomas (n = 7); osteosarcomas, radiation-induced sarcomas, and local recurrences after breast cancer (n= 2 each); and angiosarcoma, Ewing sarcoma, liposarcoma, malignant fibrous histiocytoma, and metastatic renal carcinoma (n = 1 each). One patient died in hospital. Two patients developed wound infections, one required repeated aspirations of a pleural effusion, and one patient later developed loosening of the plate that had been sutured to the clavicular stump. At the time of follow-up (mean 32 months, range 12-74) 16 patients were alive, all of whom had returned to their normal life style. Conclusions: The technique is easy to follow and has the advantages of a short hospital stay and good local control. It obviates the need for postoperative mechanical ventilation, and means that patients are not prevented from working because of incapacity.

Original languageEnglish
Pages (from-to)494-499
Number of pages6
JournalEuropean Journal of Surgery, Acta Chirurgica
Volume168
Issue number8-9
DOIs
Publication statusPublished - 2002

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Thoracic Wall
Neoplasms
Malignant Fibrous Histiocytoma
Liposarcoma
Sternum
Hemangiosarcoma
Chondrosarcoma
Surgical Flaps
Ewing's Sarcoma
Polypropylenes
Wound Infection
Osteosarcoma
Pleural Effusion
Titanium
Artificial Respiration
Sarcoma
Italy
Life Style
Length of Stay
Retrospective Studies

Keywords

  • Neoplasm
  • Polypropylene mesh
  • Sternum
  • Titanium plate

ASJC Scopus subject areas

  • Surgery

Cite this

Sternal reconstruction with synthetic mesh and metallic plates for high grade tumours of the chest wall. / Briccoli, Antonio; Manfrini, Marco; Rocca, Michele; Lari, Stefano; Giacomini, Stefano; Mercuri, Mario.

In: European Journal of Surgery, Acta Chirurgica, Vol. 168, No. 8-9, 2002, p. 494-499.

Research output: Contribution to journalArticle

Briccoli, Antonio ; Manfrini, Marco ; Rocca, Michele ; Lari, Stefano ; Giacomini, Stefano ; Mercuri, Mario. / Sternal reconstruction with synthetic mesh and metallic plates for high grade tumours of the chest wall. In: European Journal of Surgery, Acta Chirurgica. 2002 ; Vol. 168, No. 8-9. pp. 494-499.
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