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Porcine dermal collagen (permacol) for sternal reconstruction.

Lee KH, Kim KT, Son HS, Jung JS, Cho JH - Korean J Thorac Cardiovasc Surg (2013)

Bottom Line: In chest wall reconstruction after wide chest wall resection, the use of a musculocutaneous flap or prosthetic materials is inevitable for maintaining thoracic movement and a closed pleural cavity.The mass measured 6.8 cm and involved the sternum, left side of the parasternal area, ribs, and intercostal muscles.Successful chest wall reconstruction without any other complications was achieved, demonstrating the effectiveness of Permacol.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine, Korea.

ABSTRACT
In chest wall reconstruction after wide chest wall resection, the use of a musculocutaneous flap or prosthetic materials is inevitable for maintaining thoracic movement and a closed pleural cavity. We report a case of a 63-year-old male with a large invasive thymic carcinoma in the anterior mediastinum. The mass measured 6.8 cm and involved the sternum, left side of the parasternal area, ribs, and intercostal muscles. The patient underwent subtotal sternectomy, radical thymectomy, and reconstruction with biological mesh (Permacol). Successful chest wall reconstruction without any other complications was achieved, demonstrating the effectiveness of Permacol.

No MeSH data available.


Related in: MedlinePlus

Permacol sewn into place with 1-0 polypropylene intermittent sutures.
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Figure 4: Permacol sewn into place with 1-0 polypropylene intermittent sutures.

Mentions: The sternum and chest wall defect was wide and chest wall reconstruction using a Permacol patch (20×15 cm) was planned. The margin of the defect was calculated as stated in Fig. 2, and was tailored based on the shape of the defect. Using steel wire for the upper margin, suture of the manubrium and a tailored patch were performed. The tailored patch was anchored at the lateral margins of the bilateral ribs and the lower margin with multiple intermittent sutures using 1/0 polypropylene. Finally, the chest wall reconstruction was completed (Fig. 4).


Porcine dermal collagen (permacol) for sternal reconstruction.

Lee KH, Kim KT, Son HS, Jung JS, Cho JH - Korean J Thorac Cardiovasc Surg (2013)

Permacol sewn into place with 1-0 polypropylene intermittent sutures.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3756168&req=5

Figure 4: Permacol sewn into place with 1-0 polypropylene intermittent sutures.
Mentions: The sternum and chest wall defect was wide and chest wall reconstruction using a Permacol patch (20×15 cm) was planned. The margin of the defect was calculated as stated in Fig. 2, and was tailored based on the shape of the defect. Using steel wire for the upper margin, suture of the manubrium and a tailored patch were performed. The tailored patch was anchored at the lateral margins of the bilateral ribs and the lower margin with multiple intermittent sutures using 1/0 polypropylene. Finally, the chest wall reconstruction was completed (Fig. 4).

Bottom Line: In chest wall reconstruction after wide chest wall resection, the use of a musculocutaneous flap or prosthetic materials is inevitable for maintaining thoracic movement and a closed pleural cavity.The mass measured 6.8 cm and involved the sternum, left side of the parasternal area, ribs, and intercostal muscles.Successful chest wall reconstruction without any other complications was achieved, demonstrating the effectiveness of Permacol.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine, Korea.

ABSTRACT
In chest wall reconstruction after wide chest wall resection, the use of a musculocutaneous flap or prosthetic materials is inevitable for maintaining thoracic movement and a closed pleural cavity. We report a case of a 63-year-old male with a large invasive thymic carcinoma in the anterior mediastinum. The mass measured 6.8 cm and involved the sternum, left side of the parasternal area, ribs, and intercostal muscles. The patient underwent subtotal sternectomy, radical thymectomy, and reconstruction with biological mesh (Permacol). Successful chest wall reconstruction without any other complications was achieved, demonstrating the effectiveness of Permacol.

No MeSH data available.


Related in: MedlinePlus