title: Results of bony chest wall reconstruction with expanded polytetrafluoroethylene soft tissue patch.
abstract: OBJECTIVE
  The early and long-term outcomes of bony chest wall reconstruction with expanded polytetrafluoroethylene (Gore-Tex) soft tissue patch remain a concern. No clinical study has reported the shrinkage of Gore-Tex following reconstruction to date.
  
  
  METHODS
  Thirty-seven patients who underwent bony chest wall reconstruction from 1994 to 2012 were retrospectively reviewed. Postoperative chest computed tomography images of 17 patients were examined, and shrinkage of reconstruction materials was measured and compared.
  
  
  RESULTS
  Gore-Tex was used for reconstruction in 18 patients, autologous materials were used in 14, Marlex mesh was used in four, and Medifit felt was used in one. No surgery-related deaths were observed. Twenty patients experienced early postoperative complications. Four patients experienced local infection. One patient with Marlex-mesh experienced empyema 33 days postoperatively. Chest drainage time in the Gore-Tex patients was significantly lower than in patients with other types of prosthetic reconstruction. No dislocation or dehiscence was found. Shrinkage of Gore-Tex was absent in 4 patients and acceptable in seven patients. No granulation formation was evident around the Gore-Tex, No significant difference in shrinkage was seen between the different materials used.
  
  
  CONCLUSIONS
  Chest wall reconstruction with Gore-Tex was feasible with favorable early and long-term results.
authors: Department of Thoracic Surgery, University of Tokyo Graduate School of Medicine, Tokyo, Japan; Department of Thoracic Surgery, Yantai Yuhuangding Hospital, Medical College of Qingdao University, Yantai, Shandong, China.
authors: Haibo
authors: H
authors: Huang
authors: Kentaro
authors: K
authors: Kitano
authors: Kazuhiro
authors: K
authors: Nagayama
authors: Jun-ichi
authors: J
authors: Nitadori
authors: Masaki
authors: M
authors: Anraku
authors: Tomohiro
authors: T
authors: Murakawa
authors: Jun
authors: J
authors: Nakajima
mesh_terms: D000328:Adult; D000368:Aged; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000209:etiology; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000295:instrumentation*; D012189:Retrospective Studies; D035441:Thoracic Wall / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D011126:Polypropylenes; D011138:Polytetrafluoroethylene
references: Mayo Clin Proc. 1986 Jul;61(7):557-63
references: 3713261
references: Am Surg. 2004 Aug;70(8):657-61
references: 15328796
references: J Thorac Surg. 1947 Aug;16(4):399-406
references: 20256748
references: Asian Cardiovasc Thorac Ann. 2002 Sep;10(3):285-6
references: 12213763
references: AMA Arch Surg. 1956 Jun;72(6):901-7
references: 13312860
references: Ann Thorac Surg. 1995 Nov;60(5):1353-8; discussion 1358-9
references: 8526626
references: Am J Surg. 2007 Apr;193(4):538-42
references: 17368306
references: World J Surg. 2005 Aug;29(8):1038-43
references: 15977079
references: Curr Probl Surg. 1983 Jun;20(6):345-86
references: 6851629
references: J Thorac Cardiovasc Surg. 1999 Mar;117(3):588-91; discussion 591-2
references: 10047664
references: Am J Surg. 2007 Jul;194(1):68-74
references: 17560912