MANAGEMENT OF CHEST WALL DEFECTS AFTER RIB RESECTION

摘要

Chest wall resection and reconstruction is commonly performed in dogs for the management of rib tumors. Surgical resection with a minimum of 3 cm margins of normal tissue is recommended for the management of primary rib sarcomas because of their aggressive local behavior, and this frequently involves multiple ribs and occasionally adjacent organs and structures (such as the pericardium, lung lobes, and vertebrae). Primary repair of chest wall defects is rarely possible because of the large size of the resultant defect. As a result, a number of autogenous and prosthetic techniques have been reported to reconstruct chest wall defects. The aim of chest wall reconstruction is to fill the defect and reduce dead space, establish an airtight seal of the pleural cavity, and provide sufficient rigidity to prevent respiratory compromise and protect intrathoracic structures.