Reconstruction methods in chest wall resections

Göğüs duvarı rezeksiyonlarında rekonstrüksiyon yöntemleri

Authors

  • Hıdır Esme SBU Konya SUAM

Keywords:

Göğüs duvarı, rezeksiyon, rekonstrüksiyon yöntemleri

Abstract

ABSTRACT

Chest wall defects generally result from resection of primary chest wall tumors, locally-invasive malignancies, or metastatic lesions. After an R0 chest wall resection, first skeletal stability must be established with prosthetic or bioprosthetic materials, or a combination of both. Regardless of the technique used to establish skeletal stability, soft tissue coverage of the prosthesis is necessary. The primary goals of all chest wall reconstructions are to obliterate dead space, restore chest wall rigidity, preserve pulmonary mechanic, protect intrathoracic organs and provide soft tissue coverage. In this article, our aim is to review the basic principles and indications of the chest wall resection and reconstruction, preoperative evaluation of patients, and the materials and methods used for the reconstruction.

ÖZET

Göğüs duvarı defektleri genellikle primer göğüs duvarı tümörlerinin, lokal invaziv malignitelerin veya metastatik lezyonların rezeksiyonundan kaynaklanır. R0 göğüs duvarı rezeksiyonundan sonra, ilk olarak iskelet doku stabilitesi protez veya biyoprotez malzemelerle veya her ikisinin bir kombinasyonu ile oluşturulmalıdır. İskelet doku stabilitesi oluşturmak için kullanılan teknik ne olursa olsun, protezin yumuşak doku ile örtümü gereklidir. Tüm göğüs duvarı rekonstrüksiyonlarının temel hedefleri ölü alanı yok etmek, göğüs duvarı sertliğini geri kazanmak, pulmoner mekaniği muhafaza etmek, intratorasik organları korumak ve yumuşak doku ile protezin örtülmesini sağlamaktır. Bu yazıda amacımız, göğüs duvarı rezeksiyonu ve rekonstrüksiyonunun temel prensipleri, endikasyonları, hastaların preoperatif değerlendirmesi ve konstrüksiyon için kullanılan materyal ve yöntemlerin gözden geçirilmesidir.

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Published

2021-03-04

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