Chest wall reconstruction using a new titanium mesh: a multicenters experience

• DOI: 10.21037/jtd.2019.07.74
• Publication Date: 2019-08-31T06:11:18Z
• Authors: Nicola Tamburini; William Grossi; Stefano Sanna; Alessio Campisi; Francesco Londero; Pio Maniscalco; Giampiero Dolci; Francesco Quarant...; Niccolò Daddi; Angelo Morelli; Giorgio Cavallesco; Andrea Dell’Amore
• Keywords: Thoracic wall; Flail Chest; Surgical mesh

Many new surgical techniques and materials have been introduced in the last decade for chest wall reconstruction or stabilization with purpose of improving incorporation, maintaining stability reduction infections. However, none them are yet considered a gold standard procedure. The aim this work is to evaluate initial experience using titanium mesh four Italian Thoracic Surgery Departments.A review was performed all patients undergoing between January 2014 September 2018. Surgical indications, location size defect, intraoperative variables postoperative complications were analyzed.A total 26 consecutive included. most common indications surgery primary secondary tumors (38%) followed by lung cancer invading (31%). localization defect anterolateral (46%). Sternal required 3 (12%). average 9.3×7.8 cm. median number resected ribs 3.6. No perioperative deaths occurred. Mean hospital stay 11.9 days. Overall morbidity 19%. One failure (4%) reported during follow up.In our early clinical can be as safe effective This has excellent biomechanical characteristics rigid malleable materials, it's easy trim fix optimal adaptation without necessity dedicated instruments. mid-term results satisfactory low incidence related implant.