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                            0 => "J&#46;L&#46; Grosfeld"
                            1 => "F&#46;J&#46; Rescorta"
                            2 => "K&#46;W&#46; West"
                            3 => "D&#46;W&#46; Vane"
                            4 => "G&#46;P&#46; DeRosa"
                            5 => "A&#46;J&#46; Provisor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Pediatr Surg"
                        "fecha" => "1988"
                        "volumen" => "23"
                        "paginaInicial" => "667"
                        "paginaFinal" => "673"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3204468"
                            "web" => "Medline"
                          ]
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                      ]
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                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chest wall invasion in carcinoma of the lung"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "B&#46;S&#46; McCaughan"
                            1 => "N&#46; Martini"
                            2 => "M&#46; Bains"
                            3 => "P&#46;M&#46; McCormack"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Thorac Cardiovasc"
                        "fecha" => "1985"
                        "volumen" => "89"
                        "paginaInicial" => "836"
                        "paginaFinal" => "841"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bronchogenic carcinoma with wall invasion"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46;S&#46; Alien"
                            1 => "D&#46;J&#46; Mathisen"
                            2 => "H&#46;C&#46; Grillo"
                            3 => "J&#46;C&#46; Wain"
                            4 => "A&#46;C&#46; Moncure"
                            5 => "A&#46;D&#46; Hilgenberg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1991"
                        "volumen" => "51"
                        "paginaInicial" => "948"
                        "paginaFinal" => "951"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2039324"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bronchogenic carcinoma with chest wall invasion&#58; factors affecting survival following en bloc resection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;M&#46; Piehler"
                            1 => "P&#46;C&#46; Pairolero"
                            2 => "L&#46;H&#46; Weiland"
                            3 => "K&#46;P&#46; Offord"
                            4 => "W&#46;S&#46; Payne"
                            5 => "P&#46;E&#46; Bernatz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1982"
                        "volumen" => "34"
                        "paginaInicial" => "684"
                        "paginaFinal" => "692"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7149846"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "En bloc &#40;non chest wall&#41; resection of bronchogenic carcinoma with parietal fixation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V&#46;F&#46; Trasket"
                            1 => "P&#46;C&#46; Pairolero"
                            2 => "J&#46;M&#46; Piehler"
                            3 => "L&#46;H&#46; Weiland"
                            4 => "P&#46;C&#46; O&#8217;Brien"
                            5 => "S&#46; Payne"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Thorac Cardiovasc Surg"
                        "fecha" => "1984"
                        "volumen" => "87"
                        "paginaInicial" => "352"
                        "paginaFinal" => "358"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6700242"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Primary chest wall tumors&#58; factors affecting survival"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46;M&#46; King"
                            1 => "P&#46;C&#46; Pairolero"
                            2 => "V&#46;F&#46; Trasket"
                            3 => "J&#46;M&#46; Piehler"
                            4 => "S&#46; Payne"
                            5 => "P&#46;E&#46; Bernatz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1986"
                        "volumen" => "41"
                        "paginaInicial" => "597"
                        "paginaFinal" => "601"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3013106"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reconstruction of the chest wall with ePTFE following major resection"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46; Hyans"
                            1 => "J&#46;H&#46; Moore"
                            2 => "L&#46; Sinha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Plast Surg"
                        "fecha" => "1992"
                        "volumen" => "29"
                        "paginaInicial" => "321"
                        "paginaFinal" => "327"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1466528"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Use of prosthetic materials in chest wall reconstruction&#58; assets and liabilities"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46;M&#46; McCormack"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Clin North Am"
                        "fecha" => "1989"
                        "volumen" => "69"
                        "paginaInicial" => "965"
                        "paginaFinal" => "976"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2675354"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "prosthetic substitutes of the chest wall"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46; Eschapasse"
                            1 => "J&#46; Gaillard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Current therapy in cardiovascular surgery"
                        "paginaInicial" => "96"
                        "paginaFinal" => "98"
                        "serieFecha" => "1989"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Local recurrent mammary carcinoma failing multimodality therapy&#58; a solution"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "P&#46;M&#46; McCormack"
                            1 => "M&#46;S&#46; Bains"
                            2 => "M&#46;E&#46; Burt"
                            3 => "N&#46; Martini"
                            4 => "T&#46; Chaglassian"
                            5 => "D&#46;A&#46; Hidalgo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Surg"
                        "fecha" => "1989"
                        "volumen" => "124"
                        "paginaInicial" => "158"
                        "paginaFinal" => "161"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2916936"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chest wall reconstruction with degradable processed sheep dermal collagen in dogs"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46;J&#46; Rudolphy"
                            1 => "R&#46; Tukkie"
                            2 => "P&#46; Klopper"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1991"
                        "volumen" => "52"
                        "paginaInicial" => "821"
                        "paginaFinal" => "825"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1929636"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Current techniques for chest wall reconstruction&#58; expanded possibilities for treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46;J&#46; McKenna"
                            1 => "C&#46;F&#46; Mountain"
                            2 => "M&#46;J&#46; McMurtrey"
                            3 => "D&#46; Larson"
                            4 => "Q&#46;R&#46; Stiles"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1988"
                        "volumen" => "46"
                        "paginaInicial" => "508"
                        "paginaFinal" => "512"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3190322"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A&#46; method for reconstruction of large full-thickness defects of the bony thorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; Larsson"
                            1 => "N&#46; Al-Khaja"
                            2 => "D&#46; Roberts"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Scand J Thorac Cardiovasc Surg"
                        "fecha" => "1990"
                        "volumen" => "24"
                        "paginaInicial" => "33"
                        "paginaFinal" => "38"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2353179"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Stenal resection and reconstruction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46;A&#46; Mansour"
                            1 => "T&#46;M&#46; Anderson"
                            2 => "T&#46;R&#46; Hester"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1993"
                        "volumen" => "55"
                        "paginaInicial" => "838"
                        "paginaFinal" => "843"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8466335"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chest wall resection-alloplastic replacement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;H&#46; Lampl"
                            1 => "H&#46; Loeprecht"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-2007-1020065"
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorac Cardiovasc Surg"
                        "fecha" => "1988"
                        "volumen" => "36"
                        "paginaInicial" => "157"
                        "paginaFinal" => "158"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3212772"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "25&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chest wall reconstruction following resection of large primary malignant tumors"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Chapelier"
                            1 => "P&#46; Macchiarini"
                            2 => "M&#46; Rietjens"
                            3 => "A&#46; Margulis"
                            4 => "J&#46;Y&#46; Petit"
                            5 => "P&#46; Dartevelle"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur J Cardio-Thorac Surg"
                        "fecha" => "1994"
                        "volumen" => "8"
                        "paginaInicial" => "351"
                        "paginaFinal" => "357"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Total stemectomy for malignant disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "F&#46; Par&#237;s"
                            1 => "E&#46; Blasco"
                            2 => "V&#46; Tarazona"
                            3 => "J&#46; Pastor"
                            4 => "A&#46;G&#46; Zarza"
                            5 => "P&#46; Padilla"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Thorac Cardiovasc Surg"
                        "fecha" => "1980"
                        "volumen" => "80"
                        "paginaInicial" => "459"
                        "paginaFinal" => "462"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7412352"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0135"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Experience with abdominal wall closure for patients with abdominal closure for patients with congenital diaphragmatic hernia repaired on ECMO"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;J&#46; Schitzer"
                            1 => "C&#46;S&#46; Kikiros"
                            2 => "B&#46;L&#46; Short"
                            3 => "A&#46; O&#8217;Brien"
                            4 => "K&#46;D&#46; Anderson"
                            5 => "K&#46;D&#46; Newman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Pediatr Surg"
                        "fecha" => "1995"
                        "volumen" => "30"
                        "paginaInicial" => "19"
                        "paginaFinal" => "22"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7722821"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "McCraw and Amold&#39;s Atlas of muscle and musculocutaneous flaps"
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                          "etal" => false
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                  ]
                ]
              ]
            ]
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Journal Information
Vol. 33. Issue 1.
Pages 27-30 (January 1997)
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Vol. 33. Issue 1.
Pages 27-30 (January 1997)
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Reconstrucción torácica con prótesis de politetrafluoroetileno
Thoracic wall reconstruction with polytetrafluoroethylene
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J.I. González Muñoz, M. Córdoba Peláez, E. Tebar Boti, J.C. Téllez Cantero, E. Castedo Mejuto, A. Varela de Ugarte*
Servicio de Cirugía Torácica y Cardiovascular. Clínica Puerta de Hierro. Madrid
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Las resecciones de pared torácica se llevan a cabo en multitud de patologías. Las técnicas de reconstrucción han variado notablemente desde la introducción de las prótesis sintéticas, la última de ellas la de politetrafluoroetileno (PTFE) (Gore-Tex®). Presentamos la experiencia de nuestro servicio en la reconstrucción torácica con prótesis de PTFE.

Se utilizó este material en 21 pacientes intervenidos por diversas patologías, de los que 13 son reconstrucciones de la pared torácica, cuatro de diafragma y cuatro de pericardio. En los primeros se asoció en 3 casos una mioplastia bilateral de pectoral mayor, en 2 casos una omentoplastia y en uno un colgajo miocutáneo de dorsal ancho.

Como complicaciones se presentaron neumonía en 2 casos y un seroma con fístula cutánea crónica que motivó la retirada de la prótesis a los 9 meses. Hubo 2 fallecimientos, uno a los 19 días de la intervención y otro a los 9 meses, no relacionados con la técnica de reconstrucción.

El seguimiento oscila entre 3 y 54 meses.

En conclusión, recomendamos la utilización de PTFE como prótesis a utilizar en la reconstrucción torácica, asociada a plastias o colgajos miocutáneos.

Palabras clave:
Politetrafluoroetileno (PTFE) (Gore-Tex®)
Plastia.

Thoracic wall resections are performed to treat a wide variety of conditions. Reconstruction techniques have varied considerably since the introduction of synthetic prosthesis, the most recent of which are made of polytetrafluoroethylene (PTFE, or Gore-Tex®). We describe our department's experience with PTFE prosthesis.

PTFE was used in 21 patients treated for various diseases. Thirteen reconstructions were of the thoracic wall, 4 were of the diaphragm and 4 of the pericardium. Three of the 13 thoracic wall reconstructions involved bilateral myoplasty of the pectoralis major, 2 involved omentoplasty and 1 required use of a wide musculocutaneous flap.

Complications included pneumonia in 2 cases and 1 seroma with chronic cutaneous fistula that required removal of the prosthesis after 9 months. Two patients died, 1 after 19 days and the other after 9 months, both as a result of causes unrelated to reconstruction. Follow-up of these patients ranged from 3 to 54 months.

We recommend the prosthetic use of PTFE for thoracic wall reconstruction, along with plasty or musculocutaneous flaps when necessary.

Key words:
Polytetrafluoroethylene, PTFE. Gore-Tex®
Plasty.
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Bibliografía
[1.]
J.S. Holden.
Sarcoma of the sternum.
Br Med J, 11 (1878), pp. 358
[2.]
F.W. Parham.
Thoracic resection for tumors growing from the bony wall of the chest.
Trans South Surg Gynecol Assoc, 11 (1898), pp. 223-363
[3.]
J.D. Bisgard, S.A. Swenson Jr..
Tumors of the sternum: report of a case with special operative technic.
Arch Surg, 56 (1948), pp. 570-577
[4.]
D.A. Campbell.
Reconstruction of the anterior thoracic wall.
J Thorac Surg, 19 (1750), pp. 456-461
[5.]
I. Kiricuta.
L’emploi du grand épiploon dans la chirugie du sein cancéreux.
Presse Med, 71 (1963), pp. 15-17
[6.]
P. Pairolero, P.G. Amold.
Thoracic wall defects: surgical managment of 205 consecutive patients.
Mayo Clin Proc, 61 (1986), pp. 557-563
[7.]
P. Pairolero.
Surgical managment of neoplasms of the chest wall.
Surgery of the chest, 5.ª,
[8.]
P. Pairolero, P.G. Amold.
Chest wall tumor.
J Thorac Cardiovasc Surg, 90 (1985), pp. 367-372
[9.]
B.O. Anderson, M.E. Burt.
Chest wall neoplasms and their managment.
Ann Thorac Surg, 58 (1994), pp. 1.774-1.781
[10.]
J.L. Grosfeld, F.J. Rescorta, K.W. West, D.W. Vane, G.P. DeRosa, A.J. Provisor, et al.
Chest wall resection and reconstruction for malignant conditions in childhood.
J Pediatr Surg, 23 (1988), pp. 667-673
[11.]
B.S. McCaughan, N. Martini, M. Bains, P.M. McCormack.
Chest wall invasion in carcinoma of the lung.
J Thorac Cardiovasc, 89 (1985), pp. 836-841
[12.]
M.S. Alien, D.J. Mathisen, H.C. Grillo, J.C. Wain, A.C. Moncure, A.D. Hilgenberg.
Bronchogenic carcinoma with wall invasion.
Ann Thorac Surg, 51 (1991), pp. 948-951
[13.]
J.M. Piehler, P.C. Pairolero, L.H. Weiland, K.P. Offord, W.S. Payne, P.E. Bernatz.
Bronchogenic carcinoma with chest wall invasion: factors affecting survival following en bloc resection.
Ann Thorac Surg, 34 (1982), pp. 684-692
[14.]
V.F. Trasket, P.C. Pairolero, J.M. Piehler, L.H. Weiland, P.C. O’Brien, S. Payne, et al.
En bloc (non chest wall) resection of bronchogenic carcinoma with parietal fixation.
J Thorac Cardiovasc Surg, 87 (1984), pp. 352-358
[15.]
R.M. King, P.C. Pairolero, V.F. Trasket, J.M. Piehler, S. Payne, P.E. Bernatz.
Primary chest wall tumors: factors affecting survival.
Ann Thorac Surg, 41 (1986), pp. 597-601
[16.]
P. Hyans, J.H. Moore, L. Sinha.
Reconstruction of the chest wall with ePTFE following major resection.
Ann Plast Surg, 29 (1992), pp. 321-327
[17.]
P.M. McCormack.
Use of prosthetic materials in chest wall reconstruction: assets and liabilities.
Surg Clin North Am, 69 (1989), pp. 965-976
[18.]
H. Eschapasse, J. Gaillard.
prosthetic substitutes of the chest wall.
Current therapy in cardiovascular surgery, pp. 96-98
[19.]
P.M. McCormack, M.S. Bains, M.E. Burt, N. Martini, T. Chaglassian, D.A. Hidalgo.
Local recurrent mammary carcinoma failing multimodality therapy: a solution.
Arch Surg, 124 (1989), pp. 158-161
[20.]
V.J. Rudolphy, R. Tukkie, P. Klopper.
Chest wall reconstruction with degradable processed sheep dermal collagen in dogs.
Ann Thorac Surg, 52 (1991), pp. 821-825
[21.]
R.J. McKenna, C.F. Mountain, M.J. McMurtrey, D. Larson, Q.R. Stiles.
Current techniques for chest wall reconstruction: expanded possibilities for treatment.
Ann Thorac Surg, 46 (1988), pp. 508-512
[22.]
S. Larsson, N. Al-Khaja, D. Roberts.
A. method for reconstruction of large full-thickness defects of the bony thorax.
Scand J Thorac Cardiovasc Surg, 24 (1990), pp. 33-38
[23.]
K.A. Mansour, T.M. Anderson, T.R. Hester.
Stenal resection and reconstruction.
Ann Thorac Surg, 55 (1993), pp. 838-843
[24.]
L.H. Lampl, H. Loeprecht.
Chest wall resection-alloplastic replacement.
Thorac Cardiovasc Surg, 36 (1988), pp. 157-158
[25.]
A. Chapelier, P. Macchiarini, M. Rietjens, A. Margulis, J.Y. Petit, P. Dartevelle.
Chest wall reconstruction following resection of large primary malignant tumors.
Eur J Cardio-Thorac Surg, 8 (1994), pp. 351-357
[26.]
F. París, E. Blasco, V. Tarazona, J. Pastor, A.G. Zarza, P. Padilla.
Total stemectomy for malignant disease.
J Thorac Cardiovasc Surg, 80 (1980), pp. 459-462
[27.]
J.J. Schitzer, C.S. Kikiros, B.L. Short, A. O’Brien, K.D. Anderson, K.D. Newman.
Experience with abdominal wall closure for patients with abdominal closure for patients with congenital diaphragmatic hernia repaired on ECMO.
J Pediatr Surg, 30 (1995), pp. 19-22
[28.]
J.B. McCraw, P.G. Amold.
McCraw and Amold's Atlas of muscle and musculocutaneous flaps.
Hampton Press Publishing Company, Inc, (1986),
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