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Stable construction of the sternum after broad radical resection of malignant tumours

机译:广泛根治性切除恶性肿瘤后胸骨的稳定结构

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Radical resection of primary or solitary secondary malignant sternal tumours is indicated in patients without metastases. Sternal reconstruction may be indicated in large defects to prevent pulmonary complications, to achieve protection of intra-thoracic organs and to obtain a good aesthetic result. In this article, a modified surgical technique is described to fill and reconstruct large defects after radical resection of a primary or secondary malignant sternal tumour. The technique makes use of a methyl methacrylate composite within two layers of polypropylene mesh enforced by steel wires through the sternal ends of the defect enhancing stability. This modified technique can be easily applied, making curative broad radical resections of the sternum feasible.
机译:无转移的患者需根治性切除原发性或孤立性继发性恶性胸骨肿瘤。可能在较大的缺损中预示了胸骨重建,以预防肺部并发症,保护胸腔内器官并获得良好的美学效果。在本文中,描述了一种改良的外科手术技术,可在原发或继发性恶性胸骨肿瘤根治性切除术后填补和重建较大的缺损。该技术在由钢丝通过穿过缺陷的胸骨端部的两层聚丙烯网中使用了甲基丙烯酸甲酯复合材料,从而增强了稳定性。这种改良的技术很容易应用,使根治性胸骨根治性切除可行。

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