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Pechetov A.A.

Vishnevsky Research Center for Surgery

Chekmareva I.A.

Vishnevsky National Medical Research Center for Surgery

Volchansky D.A.

Vishnevsky Research Center for Surgery

Lednev A.N.

Vishnevsky Research Center for Surgery

Chest wall morphological changes after sternal reconstruction with titanium mesh implant in patients with sternum instability

Authors:

Pechetov A.A., Chekmareva I.A., Volchansky D.A., Lednev A.N.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(7): 113‑119

DOI: 10.17116/hirurgia2023071113

Read: 2019 times

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Table of contents

CHEST WALL MORPHOLOGICAL CHANGES AFTER STERNAL RECONSTRUCTION WITH TITANIUM MESH IMPLANT IN PATIENTS WITH STERNUM INSTABILITY
CHEST WALL MORPHOLOGICAL CHANGES AFTER STERNAL RECONSTRUCTION WITH TITANIUM MESH IMPLANT IN PATIENTS WITH STERNUM INSTABILITY

To cite this article:

Pechetov AA, Chekmareva IA, Volchansky DA, Lednev AN. Chest wall morphological changes after sternal reconstruction with titanium mesh implant in patients with sternum instability. Pirogov Russian Journal of Surgery. 2023;(7):113‑119. (In Russ.)
https://doi.org/10.17116/hirurgia2023071113

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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Abstract:

Sternal instability is the one of the unresolved problems in open cardiac surgery (1-8%). The risk of recurrence after repeated osteosynthesis is up to 20% in these patients. Repeated osteosynthesis is impossible in some cases, and this complicates anterior chest wall reconstruction. Among various methods of sternal reconstruction, there are options for repair with own tissues and various fixing devices. Mesh prostheses from titanium and its alloys are modern materials for chest defect closure. There are literature data on soft tissue structural changes after hernia repair with titanium mesh implants, but biological compatibility and advantages of titanium alloys for chest wall instability are unclear. We present 2 patients after sternal reconstruction with titanium mesh implant and subsequent partial removal of prosthesis for various reasons with morphological examination.

Keywords:

sternal instability
sternal dehiscence
sternal wound
titanium mesh
tissue regenerate
morphology

Authors:

Pechetov A.A.

Vishnevsky Research Center for Surgery

Chekmareva I.A.

Vishnevsky National Medical Research Center for Surgery

Volchansky D.A.

Vishnevsky Research Center for Surgery

Lednev A.N.

Vishnevsky Research Center for Surgery

Received:

19.12.2022

Accepted:

08.02.2023

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References:

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  9. Kazantsev AA, Tulyakov SS, Alekhin AI, Khoninov BV, et al. Perspektivy ispol’zovaniya polifilamentnogo titanovogo shovnogo materiala v travmatologii. RMZh. 2017;8:533-538. (In Russ.).
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  12. Cherepanova TV. Primenenie setchatogo nikelid-titanovogo implantata v vosstanovlenii myshechno-aponevroticheskogo karkasa perednej bryushnoj stenki: Diss. ... kand. med. nauk. K. 2020.
  13. Parshikov VV, Kazantsev AA, Mironov AA, Zavaruev VA, et al. K voprosu o vozmozhnosti primeneniya ul’tralegkikh titansoderzhashchikh setchatykh endoprotezov dlya plastiki bryushnoj stenki v usloviyakh infitsirovaniya (eksperimental’noe issledovanie). Khirurgiya. Zhurnal im. N.I. Pirogova. 2016;11:64-70.  https://doi.org/10.17116/hirurgia20161164-70
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