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Chest Wall Resection and Reconstruction

medical tourism Chest Wall Resection and Reconstruction

For patients requiring chest wall resection and reconstruction, medical tourism offers access to world-class surgical centers in destinations like India, Germany, South Korea, and Turkey at 40-60% lower costs than the US or UK (typically 18,000−45,000). Top JCI-accredited hospitals such as Medanta (India), Asklepios (Germany), and Anadolu Medical (Turkey) specialize in complex chest wall surgeries, utilizing 3D-printed implants, titanium mesh systems, and microvascular flap techniques for optimal functional and cosmetic outcomes.

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What is Chest Wall Resection and Reconstruction?

Chest wall resection and reconstruction is a major surgical procedure to remove diseased or damaged portions of the chest wall (ribs, sternum, or soft tissue) and rebuild structural integrity. It’s performed for:

Tumors (primary chest wall cancers or metastatic disease)
Severe trauma (crush injuries, blast wounds)
Radiation damage (necrosis from prior cancer treatment)
Infections (osteomyelitis, necrotizing fasciitis)

Types of Chest Wall Resections

Resection Type Description Common Uses
Partial Resection Removal of 1-2 ribs or small tissue area Small tumors, localized trauma
Full-Thickness Removal of ribs + muscle/pleura Large tumors, radiation damage
Sternectomy Partial/complete sternum removal Breast cancer recurrence
Extended Resection Includes lung/diaphragm if invaded Advanced malignancies

Reconstruction Techniques

1. Soft Tissue Repair

  • Muscle flaps (pectoralis, latissimus dorsi)
  • Skin grafts for surface coverage

2. Skeletal Stabilization

  • Titanium plates/mesh (most common)
  • Methyl methacrylate (bone cement) sandwich
  • 3D-printed custom implants (emerging tech)

3. Combined Approaches

  • VRAM flap (vertical rectus abdominis) + mesh
  • Omentum flap (for infected wounds)

The Surgical Process

  1. Pre-Op Planning
    • CT/MRI scans, pulmonary function tests
    • 3D modeling for complex reconstructions
  2. Resection Phase
    • Tumor/tissue removal with clean margins
    • Frozen section biopsy during surgery
  3. Reconstruction Phase
    • Skeletal stabilization first
    • Soft tissue coverage second
  4. Post-Op Care
    • ICU monitoring (24-48 hrs)
    • Chest tubes x 3-5 days

Recovery Timeline

Phase Duration Key Milestones
Hospital Stay 7-14 days Chest tube removal, pain control
Early Recovery 4-6 weeks Wound healing, light activity
Full Recovery 3-6 months Return to work, exercise

Potential Complications

  • Flap failure (5-10% risk)
  • Pneumothorax
  • Chronic pain
  • Restrictive lung disease