Repair of huge thoracic defect combined with hernia after multimodality treatment of breast cancer

Evgeniy Topolnitskiy; Timofey Chekalkin; Ekaterina Marchenko; Yuri Yasenchuk

doi:10.1016/j.rmcr.2021.101558

Repair of huge thoracic defect combined with hernia after multimodality treatment of breast cancer

Respir Med Case Rep. 2021 Nov 23:34:101558. doi: 10.1016/j.rmcr.2021.101558. eCollection 2021.

Authors

Evgeniy Topolnitskiy^{1

2}, Timofey Chekalkin^{1

3}, Ekaterina Marchenko¹, Yuri Yasenchuk¹

Affiliations

¹ Laboratory of Medical Materials, Tomsk State University, Tomsk, Russia.
² Department of Surgery, Siberian State Medical University, Tomsk, Russia.
³ R&D Center, TiNiKo Co., South Korea.

Abstract

A case of the successful reconstruction of an extensive chest wall defect combined with a ventral hernia in a patient after multimodality treatment of breast cancer complicated by sternal and costal osteomyelitis is presented. To recover the chest mechanics, with emphasis on the supporting function, and to repair the hernial defect, customized reinforced "sandwich" TiNi rib endografts and knitted TiNi surgical mesh were used. A five-year follow-up indicated no recurrence of osteomyelitis or ventral hernia, and no failure/migration of the implants or instability of the thorax. Excellent clinical and functional outcomes were achieved pursuant to the Enneking score.

Keywords: Chest wall reconstruction; Sternal and costal osteomyelitis; TiNi implant; Ventral hernia.

Publication types

Case Reports