The Best of Chest Wall Reconstruction: Principles and Clinical Application for Complex Oncologic and Sternal Defects | Journal CME Article-Journal CME Article: The Best of Chest Wall Reconstruction: Principles and Clinical Application for Complex Oncologic and Sternal Defects V1

Journal CME Article: The Best of Chest Wall Reconstruction: Principles and Clinical Application for Complex Oncologic and Sternal Defects V1

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Video Summary

The video outlines the management of a significant anterior chest wall defect following resection of a rhabdomyosarcoma. A multidisciplinary approach was taken to plan skeletal and soft tissue reconstruction, ensuring the restoration of respiratory function. The resection involved ribs two through seven and included the pleura and diaphragm. The diaphragm was repaired with a biologic mesh, ensuring a watertight pleural closure. Skeletal stability was achieved with composite mesh. Soft tissue reconstruction used bilateral deep inferior gastric perforator free flaps to preserve respiratory muscles and ensure optimal healing. The approach aimed to minimize complications and support early post-surgical recovery.

Keywords

chest wall reconstruction

rhabdomyosarcoma resection

multidisciplinary approach

biologic mesh repair

free flap surgery