@article{Sanad_Adel Hegazy_ELshabrawy Saleh_2020, title={Chest Wall Tumors: A Spectrum of Different Pathologies and Outcomes of Reconstruction Techniques}, volume={2}, url={https://journals.escts.net/ects/article/view/138}, DOI={10.35810/ects.v2i3.138}, abstractNote={<p><strong>Background:</strong> Chest wall resection and further reconstruction for tumors represent a challenging concept for surgeons. Thanks to the evolving reconstruction techniques, good results were obtained after extensive resection and reconstruction.</p> <p><strong>Patients and methods</strong><em><u>:</u></em> This prospective cohort study was conducted at our University Hospitals throughout 5 years. A total of 43 eligible cases with chest wall tumors were included. All cases were subjected to a multidisciplinary team approach, complete history taking, physical examination, radiological evaluation, and biopsy. The details of surgical techniques, complications, and follow up parameters were included.</p> <p><strong>Results:</strong> The mean age of the included cases was 29.45 years. We included a total of 24 males (55.8%). Fibromatosis was the commonest encountered pathology (27.9%), followed by chondrosarcoma (25.5%), and osteosarcoma (21%). Regarding the method of reconstruction, polypropylene mesh was used in 46.5% of cases, followed by direct closure (30.2%). Ten cases were managed by Methyl Methacrylate within the proline mesh (23.3%), while superimposed muscle flap was performed in only 2 cases (4.6%). Post-operatively, bleeding was encountered in 5 cases collectively (11.6%), while wound infection occurred in 11.6% of cases. Pulmonary complications included pneumonia (2.3%) and atelectasis (11.6%). Furthermore, chest wall instability was present in (11.6%) of cases. On follow up, recurrence was diagnosed in (9.3%) of cases (n = 4).</p> <p><strong>Conclusion:</strong> Surgical intervention is very effective if tailored to every patient as per team paln. A multidisciplinary team approach is extremely important especially if an extensive demolition is required. Indeed, radical wide en-bloc resection can achieve satisfactory results provided that the extent of resection is not influenced by any anticipated reconstruction problems.</p&gt;}, number={3}, journal={The Egyptian Cardiothoracic Surgeon}, author={Sanad, Mohammed and Adel Hegazy, Mohammed and ELshabrawy Saleh, Mohammed}, year={2020}, month={Jul.}, pages={114 - 125} }