Reconstructive surgical interventions of the chest wall as a chance to avoid disability
Borysiuk B.O., Borysiuk Yu.V., Hanul V.A., Sovenko V.M., Velychko V.V.
Summary. A retrospective analysis of clinical cases of 83 patients with primary tumours of the chest wall, ribs and sternum, as well as with metastatic lesions of the chest wall, who underwent surgical treatment with closure of the chest wall defects as part of complex treatment at the Nonprofit Organization National Cancer Institute clinic between 2021 and 2025 was conducted. During this period, 45 combined surgical procedures were performed with reconstruction and replacement of the chest wall defects. In clinical practice, various techniques for the reconstruction of the sternum, ribs and clavicle were successfully applied using bone autografts, muscle-skin flaps and synthetic materials, in particular polypropylene mesh, titanium plates, fluoroplastic prostheses, as well as three-dimensional (3D) printed implants made of titanium and polyether ether ketone (PEEK). As a result of the study, approaches to the selection of reconstructive materials for replacing chest wall defects have been optimised.
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