Clinical experience with XXXX mesh in reconstruction of massive chest wall defects following oncological resection.

@entity1 @entity242 @entity39 @entity5 @entity281 @entity702
OBJECTIVES: To present our experience of reconstructing wide defects with porously @entity702 mesh after radical resection of malignant @entity5 . METHODS: A retrospective review of surgical reconstruction for large chest wall resections with @entity702 mesh was conducted from January 2009 to August 2014 in Shanghai Chest Hospital. RESULTS: A total of 27 @entity1 underwent major chest wall reconstructions with @entity702 mesh, following oncological resections. Chest wall @entity242 were the most frequent (63.0%). The mean @entity5 size was 72.4 (range, 36-140) cm(2). The average size of the applied porously @entity702 mesh was 140.9 (range, 80-225) cm(2). Mean postoperative length of stay was 7.1 (range, 4-14) days. There were no perioperative mortalities. Four (14.8%) @entity1 experienced treatable complications. All had a resection of at least 3 ribs (median 3, mean 3.5 ribs). A total of 22 @entity1 underwent ribs without sternal resections, and five @entity1 underwent partial sternal resections with adjacent costal cartilage. Anterior chest wall resections were performed in 13 @entity1 while lateral chest wall resections were performed in 9 @entity1 . Three @entity1 had extended resections beyond the chest wall in @entity1 with primary chest wall @entity5 , including two with wedge resections of lung and one with partial resection of pericardium. No @entity1 was lost to follow-up. Mean follow-up was 30.7 months. Neither chest wall instability nor wound @entity281 / @entity39 was observed. Of these, 23 @entity1 (85.2%) were alive at the last follow-up. Local recurrence was detected in three cases. The 5-year disease-free and overall survivals of primary @entity5 were 72.1% and 80.8%, respectively. CONCLUSIONS: Our results showed that chest wall reconstruction utilizing synthetic @entity702 meshes following extensive resections of the chest wall malignant @entity5 allowed adequate resection size, with acceptable complications and survival benefits.
