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Thorac Surg Clin. 2015 Nov;25(4):517-21. doi: 10.1016/j.thorsurg.2015.07.013.

Chest Wall Resection and Reconstruction: Management of Complications.

Author information

1
Section of General Thoracic Surgery, Division of Cardiothoracic Surgery, University of Colorado Denver School of Medicine, 12631 East 17th Avenue, MS C310, Aurora, CO 80045, USA.
2
Section of General Thoracic Surgery, Division of Cardiothoracic Surgery, University of Colorado Denver School of Medicine, 12631 East 17th Avenue, MS C310, Aurora, CO 80045, USA. Electronic address: Michael.weyant@ucdenver.edu.

Abstract

The main indications for chest wall resection continue to be tumors, infection, and radiation injury. Complications surrounding chest wall resection procedures include respiratory failure, wound complications, and prosthetic complications. The main risk factors for complications are size of defect, age, and concomitant lung resection. Most complications related to either the wound or the prosthesis are late postoperative events. The identification of complications related to chest wall reconstruction requires clinical examination and the use of detailed imaging studies. The management of both prosthetic and wound complications often requires reoperation and removal of the prosthesis combined with soft tissue wound management.

KEYWORDS:

Chest wall resection; Complications of chest wall resection; Prosthetic reconstruction

PMID:
26515951
DOI:
10.1016/j.thorsurg.2015.07.013
[Indexed for MEDLINE]

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