Abstract
We performed a chest wall reconstruction using titanium mesh plate after resection of the anterior chest wall in a patient with a recurrent desmoid. We want to emphasize this surgical method, especially its technique and materials.
The size of the chest wall defect was 120×200 mm, and we used 78×225×0.5mm Titanium Mesh SheetR which was sandwiched by Marlex mesh sheets. The posterior margin of the chest wall defect was the polypropylene mesh that had been used at the previous surgery. The titanium mesh plate was fixed to the ribs with stainless steel wires, and Marlex mesh sheets were sutured to the edge of the defect and the polypropylene mesh. Finally, the titanium mesh plate was covered with the chest wall muscles.
The postoperative course was uneventful, the patient suffered no pain, and the wound was in good condition with no accumulation of fluid. There was no deformity, or flail chest. Titanium Mesh Sheet did not obstruct the view of the underlying lung on roentgenogram and computed tomographies.
In conclusion, the titanium mesh sheet seems to be an excellent prosthetic material for chest wall reconstruction.
