[
Abstract]
[
Full Text PDF] （in Japanese / 3253KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 99(5): 326-330, 1998
Feature topic
CHEST WALL RECONSTRUCTION AFTER RESECTION OF MALIGANT CHEST WALL TUMORS
Full-thickness chest wall resection is performed for complete removal of primary and secondary malignant chest wall tumors. Large defects of the chest wall after resection must be repaired to maintain adequate ventilation, to protect important intrathoracic structures, and to preserve cosmetic integrity. Various materials have been utilized over the years to replace the rigid chest wall. At present, Marlex mesh and a composite of Marlex mesh and methylmethacrylate are frequently used to reconstruct rigid chest wall defects. On the other hand, to replace the soft part of the chest wall and cover the rigid materials, pedicled muscle flaps, myocutaneous flaps, or omentum are used. Major pedicled flaps include the pectoralis major, rectus abdominis and latissimus dorsi muscular, and musculocutaneous flaps.
Techniques are now available to repair any chest wall site, and to restore chest continuity in patients whose tumors are curatively resected.
To read the PDF file you will need Adobe Reader installed on your computer.