REPAIR OF LARGE CHEST WALL DEFECTS - EXPERIENCE WITH 23 PATIENTS
REPAIR OF LARGE CHEST WALL DEFECTS - EXPERIENCE WITH 23 PATIENTS
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DOI：
10.1016/s0003-4975(10)61753-5
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发表时间：
1981-01-01
影响因子：
4.6
通讯作者：
DESREZ, X
中科院分区：
文献类型：
--
作者：
ESCHAPASSE, H;GAILLARD, J;DESREZ, X
对23例28次胸壁大面积缺损患者进行了修复。22例患者有胸廓肿瘤，1例有大的炎性肿块。9例患者接受了部分肺切除术，3例患者接受了部分肺切除术和肋骨切除术。胸骨上有7处切除。修复采用软假体（尼龙网3例，Marlex网12例）或甲基丙烯酸甲酯和金属或Marlex网的复合假体（13例）。甲基丙烯酸甲酯和Marlex的结合了甲基丙烯酸甲酯的坚固性和易成形性与补片的优点，易于固定和良好结合。当皮肤和肌肉与骨软骨壁一起切除时，在皮肤和假体之间放置网膜瓣以促进愈合。有1例术后伤口感染，经适当抗生素治疗后痊愈。无假体挤出。美容和功能效果令人满意。切除术后修复非常大的胸壁缺损是安全的。
The repair of large chest wall defects was done on 23 patients who had 28 operations. Twenty-two patients had a neoplasm of the thoracic cage, while 1 had a large inflammatory mass. Nine patients had a partial lung and 3 a partial diaphragmatic resection done en bloc with the ribs. Seven resections were on the sternum. The repair was made with a soft prosthesis (nylon mesh in 3 and Marlex mesh in 12 operations) or with a composite prosthesis of methyl methacrylate and metallic or Marlex mesh (13 operations). The association of methyl methacrylate and Marlex combines the solidity and the easy shaping of methyl methacrylate with the advantages of the mesh for an easy fixation and excellent incorporation. When the skin and the muscles are resected with the osteocartilaginous wall, an omentum flap is placed between the skin and the prosthesis to facilitate healing. There was 1 postoperative wound infection, which cleared with appropriate antibiotics. No prosthesis extruded. The cosmetic and functional results are satisfactory. Repair of very large chest wall defects after resection can be done safely.