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Titanium Plates and Dualmesh: A Modern Combination for Reconstructing Very Large Chest Wall Defects  Jean Philippe Berthet, MD, Ludovic Canaud, MD, Thomas.

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Presentation on theme: "Titanium Plates and Dualmesh: A Modern Combination for Reconstructing Very Large Chest Wall Defects  Jean Philippe Berthet, MD, Ludovic Canaud, MD, Thomas."— Presentation transcript:

1 Titanium Plates and Dualmesh: A Modern Combination for Reconstructing Very Large Chest Wall Defects 
Jean Philippe Berthet, MD, Ludovic Canaud, MD, Thomas D'Annoville, MD, Pierre Alric, MD, PhD, Charles-Henri Marty-Ane, MD, PhD  The Annals of Thoracic Surgery  Volume 91, Issue 6, Pages (June 2011) DOI: /j.athoracsur Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Strasbourg thoracic osteosynthesis system (STRATOS). (A) Rib clips and connecting bars. (B) Reinforced joints between rib clips and bars. (C, D) Different methods to implant the STRATOS device with or without bridging the defect. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 En-bloc resection of the right upper lobe, ribs, and vertebral bodies. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Dualmesh is sewn around the defect under maximum tension.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Postoperative computed tomography scan: three-dimensional reconstruction after implantation of Strasbourg thoracic osteosynthesis system (STRATOS)/Dualmesh (3 bars). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Postoperative computed tomography scan: three-dimensional reconstruction after implantation of vertical expandable prosthetic titanium rib (VEPTR)/Dualmesh. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Survival without recurrent disease (Kaplan-Meier product limit method). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 Postoperative computed tomography scan: two-dimensional reconstruction using a single polytetrafluoroethylene mesh after anterolateral chest wall resection. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

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