Early outcomes of the bird-cage chest wall reconstruction in the Philippine General Hospital
https://doi.org/10.47895/amp.vi0.4909
- Author:
Eduardo R. Bautista
1
;
Joan Kristi D. Zaldivar
2
Author Information
1. Division of Thoracic, Cardiac and Vascular Surgery, Department of Surgery, Philippine General Hospital, University of the Philippines Manila
2. Philippine General Hospital
- Publication Type:Journal Article
- Keywords:
Chest wall tumor;
Chest wall resection;
Bird-cage chest wall reconstruction
- From:
Acta Medica Philippina
2020;54(Online):1-6
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To describe the treatment outcomes of patients with chest wall tumors undergoing resection and Birdcage chest wall reconstruction in the local setting.
Methods:Data were obtained from 13 patients who underwent chest wall resection and Bird-cage (methylmethacrylate neo-rib, mesh, soft tissue, and skin) reconstruction in the Philippine General Hospital from January 2008 to September 2019. Demographics, operative procedures, 30-day operative morbidity, and mortality were evaluated using means and frequencies.
Results:We included 13 (77% female) patients with a mean age of 44.5 years. The most common indication for
chest wall resection was recurrent neoplasm (5/13, 38.46%). The most extensive chest wall defect was 600 cm2. The average length of ICU stay was 5.15 days, and two patients had prolonged intubation (>3 days). The graft infection rate was 38%, pneumonia 23%, and the operative mortality rate was zero.
Conclusion:Bird-cage reconstruction is a safe, reliable, and cheap method of providing rigid chest wall reconstruction for chest wall tumor resection.
- Full text:4909-Article Text-90961-1-10-20221213.pdf