An innovative reconstruction of an enbloc resected composite giant chest and abdominal wall chondrosarcoma with 3D-composite mesh
Abstract Background Chest wall chondrosarcomas, although common, pose unique challenges due to their aggressive nature, rarity of abdominal wall involvement, and propensity for recurrence. We highlight the critical role of meticulous surgical planning, multidisciplinary collaboration, and innovative...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-024-02595-0 |
| _version_ | 1797259028093468672 |
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| author | Klein Dantis Ramandeep Singh Archit Goel Brijesh Garg |
| author_facet | Klein Dantis Ramandeep Singh Archit Goel Brijesh Garg |
| author_sort | Klein Dantis |
| collection | DOAJ |
| description | Abstract Background Chest wall chondrosarcomas, although common, pose unique challenges due to their aggressive nature, rarity of abdominal wall involvement, and propensity for recurrence. We highlight the critical role of meticulous surgical planning, multidisciplinary collaboration, and innovative reconstruction techniques in achieving optimal outcomes for patients with composite giant chest and abdominal wall chondrosarcoma. Case Presentation A 38-year-old female patient presented with progressive left chest and abdominal wall swelling for two years; on evaluation had a large lobulated lytic lesion arising from the left ninth rib, scalloping eighth and tenth ribs measuring 13.34 × 8.92 × 10.71 cm (anteroposterior/transverse/craniocaudal diameter) diagnosed with chondrosarcoma grade 2. A three-dimensional (3D) composite mesh was designed based on computed tomography using virtual surgical planning and computer-assisted design and manufacturing technology. She underwent wide local excision and reconstruction of the chest and abdominal wall with 3D-composite mesh under general anesthesia. The postoperative condition was uneventful, with no recurrence at 12 months follow-up. Conclusion A 3D-composite mesh facilitates patient-specific, durable, and cost-effective chest and abdominal wall reconstruction. |
| first_indexed | 2024-04-24T23:02:55Z |
| format | Article |
| id | doaj.art-b3d143cab3df463db2a2f25ccbcd2ebc |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-24T23:02:55Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-b3d143cab3df463db2a2f25ccbcd2ebc2024-03-17T12:37:54ZengBMCJournal of Cardiothoracic Surgery1749-80902024-03-011911510.1186/s13019-024-02595-0An innovative reconstruction of an enbloc resected composite giant chest and abdominal wall chondrosarcoma with 3D-composite meshKlein Dantis0Ramandeep Singh1Archit Goel2Brijesh Garg3Department of CTVS, All India Institute of Medical Sciences (AIIMS)Department of Radiodiagnosis, All India Institute of Medical SciencesAll India Institute of Medical SciencesDepartment of Anesthesia, All India Institute of Medical SciencesAbstract Background Chest wall chondrosarcomas, although common, pose unique challenges due to their aggressive nature, rarity of abdominal wall involvement, and propensity for recurrence. We highlight the critical role of meticulous surgical planning, multidisciplinary collaboration, and innovative reconstruction techniques in achieving optimal outcomes for patients with composite giant chest and abdominal wall chondrosarcoma. Case Presentation A 38-year-old female patient presented with progressive left chest and abdominal wall swelling for two years; on evaluation had a large lobulated lytic lesion arising from the left ninth rib, scalloping eighth and tenth ribs measuring 13.34 × 8.92 × 10.71 cm (anteroposterior/transverse/craniocaudal diameter) diagnosed with chondrosarcoma grade 2. A three-dimensional (3D) composite mesh was designed based on computed tomography using virtual surgical planning and computer-assisted design and manufacturing technology. She underwent wide local excision and reconstruction of the chest and abdominal wall with 3D-composite mesh under general anesthesia. The postoperative condition was uneventful, with no recurrence at 12 months follow-up. Conclusion A 3D-composite mesh facilitates patient-specific, durable, and cost-effective chest and abdominal wall reconstruction.https://doi.org/10.1186/s13019-024-02595-0ChondrosarcomaChest wallAbdominal wallComposite meshReconstruction |
| spellingShingle | Klein Dantis Ramandeep Singh Archit Goel Brijesh Garg An innovative reconstruction of an enbloc resected composite giant chest and abdominal wall chondrosarcoma with 3D-composite mesh Journal of Cardiothoracic Surgery Chondrosarcoma Chest wall Abdominal wall Composite mesh Reconstruction |
| title | An innovative reconstruction of an enbloc resected composite giant chest and abdominal wall chondrosarcoma with 3D-composite mesh |
| title_full | An innovative reconstruction of an enbloc resected composite giant chest and abdominal wall chondrosarcoma with 3D-composite mesh |
| title_fullStr | An innovative reconstruction of an enbloc resected composite giant chest and abdominal wall chondrosarcoma with 3D-composite mesh |
| title_full_unstemmed | An innovative reconstruction of an enbloc resected composite giant chest and abdominal wall chondrosarcoma with 3D-composite mesh |
| title_short | An innovative reconstruction of an enbloc resected composite giant chest and abdominal wall chondrosarcoma with 3D-composite mesh |
| title_sort | innovative reconstruction of an enbloc resected composite giant chest and abdominal wall chondrosarcoma with 3d composite mesh |
| topic | Chondrosarcoma Chest wall Abdominal wall Composite mesh Reconstruction |
| url | https://doi.org/10.1186/s13019-024-02595-0 |
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