The use of biomaterials for chest wall reconstruction 30 years after radical surgery and radiation

Research output: Contribution to journalArticle

Abstract

The combination of titanium plates and acellular collagen matrix was used to restore anterior chest wall integrity in a 68-year-old woman more than 30 years after a Halsted mastectomy and radiation treatment. A vertical rectus abdominis muscle flap was used for myocutaneous coverage of the reconstructed chest wall. Partial necrosis of the flap caused prolonged exposure of the collagen matrix and the titanium plates, which were then covered with a free skin graft. Long-term results were satisfactory despite continued infection treated with vacuum-assisted closure and surgical debridement. Recently introduced materials for chest wall reconstruction may offer resilience to infection, tolerability, and stability, and their use may be contemplated when the potential for local morbidity is high.

Original languageEnglish
JournalAnnals of Thoracic Surgery
Volume94
Issue number4
DOIs
Publication statusPublished - Oct 2012

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Biocompatible Materials
Thoracic Wall
Radiation
Titanium
Collagen
Negative-Pressure Wound Therapy
Radical Mastectomy
Rectus Abdominis
Debridement
Infection
Necrosis
Morbidity
Transplants
Muscles
Skin
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

Cite this

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title = "The use of biomaterials for chest wall reconstruction 30 years after radical surgery and radiation",
abstract = "The combination of titanium plates and acellular collagen matrix was used to restore anterior chest wall integrity in a 68-year-old woman more than 30 years after a Halsted mastectomy and radiation treatment. A vertical rectus abdominis muscle flap was used for myocutaneous coverage of the reconstructed chest wall. Partial necrosis of the flap caused prolonged exposure of the collagen matrix and the titanium plates, which were then covered with a free skin graft. Long-term results were satisfactory despite continued infection treated with vacuum-assisted closure and surgical debridement. Recently introduced materials for chest wall reconstruction may offer resilience to infection, tolerability, and stability, and their use may be contemplated when the potential for local morbidity is high.",
author = "Gaetano Rocco and Stefano Mori and Flavio Fazioli and {La Rocca}, Antonello and Nicola Martucci and Sergio Setola",
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AU - Rocco, Gaetano

AU - Mori, Stefano

AU - Fazioli, Flavio

AU - La Rocca, Antonello

AU - Martucci, Nicola

AU - Setola, Sergio

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