Six cases of chest wall reconstruction using composix mesh sheet

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  • コンポジックスメッシュシートを用いた胸壁再建症例の検討

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Surgical reconstruction of the chest wall is generally performed. When the defect size of the chest wall is wide, we have to select artificial material for reconstruction. A composix mesh sheet is created for abdominal hernia repair, and composed of polyproppylene mesh and an ePTFE sheet layer. We reviewed 6 cases of chest wall reconstruction using composix mesh sheets at our hospital between August 2005 and March 2008. Primary diseases were chest wall invasion of lung cancer in 2 cases, chest wall invasion of thymoma in 1 case, chest wall invasion of breast cancer in 1 case, and fibrous dysplasia in 1 case. Two ribs were resected in 2 cases. Three and four ribs were resected in 2 cases, respectively. The defect size of the chest wall was between 6×6 and 20×6 cm. The operation time was between 245 and 470 minutes. Intraoperative bleeding was between 100 and 1,600 mL. The postoperative period of hospitalization was between 11 and 21 days. There were no complications or sheet-associated problems. Composix mesh for reconstruction of the chest wall is considered to be a suitable material for its natural strength, easy fabrication for various defect shapes, and low incidence of infection.

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