Table 1:
21 patients received the XCM Biologic Tissue Matrix for chest wall reconstruction
| No. | Sex | Age | Underlying diagnosis | Procedure | Reconstructive material | Outcome |
|---|---|---|---|---|---|---|
| 1 | M | 29 | Metastatic liposarcoma with previous chest wall resection | Redo thoracotomy and right middle lobectomy and three ribs resection with parts of costal arch | XCM patch and three Synthes bars | Well |
| 2 | M | 57 | Metastatic thyroid cancer | Partial sternectomy and claviculectomy | XCM patch and one Synthes bar | Infection |
| 3 | M | 51 | RTA with multiple rib fractures and malunion. Initial reconstruction with three Synthes bar. Complicated by herniation and single bar fracture | Replacement of one fractured Synthes bar and hernia closure | XCM patch and one Synthes bar | Well |
| 4 | M | 71 | Left upper lobe tumour (pT3N1) | Left pneumonectomy and resection of ribs 6–8 | XCM patch | Well |
| 5 | F | 35 | Pectus deformity—previous four repairs with unstable anterior chest wall | Correction of persistent chest wall deformity | XCM and two Synthes bars | Well |
| 6 | F | 18 | Ewing sarcoma of the right ninth rib | Chest wall resection and reconstruction | XCM patch and two Synthes bars | Well |
| 7 | F | 16 | Poland syndrome | Chest wall reconstruction | XCM patch and four Synthes bars | Infection-treated conservatively |
| 8 | F | 63 | Metastatic parathyroid cancer | Right VATS (wedge excision) and endoscopic chest wall reconstruction | XCM patch | Well |
| 9 | F | 65 | Left upper lobe tumour | VATS lobectomy and ribs 3–5 resection | XCM patch | Well |
| 10 | F | 58 | Chest wall deformity with previous repair and persistent deformity | Left costal cartilage resection | XCM patch | Well |
| 11 | F | 20 | Pectus deformity | Pectus repair with XCM patch to hold sternum | XCM patch | Well |
| 12 | M | 59 | Neurofibrosarcoma right upper lobe resected 25 years earlier—chest wall recurrence and tracheal stenosis | Clavicular, sternectomy, anterior chest wall resection and tracheal stenting | XCM patch and two Synthes bars | Infection, bar displacement and died (9 months) |
| 13 | F | 52 | Persistent postoperative chest wall deformity | Redo chest wall deformity repair | XCM patch and two Synthes bars | Well |
| 14 | F | 61 | Metastatic breast cancer to ribs 5–6 | Left VATS rib resection and reconstruction | XCM patch | Well |
| 15 | M | 51 | RTA with multiple rib fractures—initial repair complicated by an enlarging left subcostal hernia | Chest wall hernia repair | XCM patch | Well |
| 16 | F | 27 | Prominent costal cartilage—initial repair complicated by pain and significant abnormal movement | Redo chest wall reconstruction, removal of bone cement and Marlex Mesh | XCM patch and two Synthes bars | Well |
| 17 | F | 55 | Large cell carcinoma metastasized to the left transverse process of T11 | Chest wall resection, vertebral body resection and reconstruction | XCM patch and acrylic cement fashioned as ribs | Well |
| 18 | F | 34 | Carcinoid left upper lobe | Empyema drainage and chest wall reconstruction | XCM patch | Well |
| 19 | M | 55 | Chest wall hernia | Redo reconstruction after removal of infected Gortex patch | XCM patch | Well |
| 20 | M | 45 | Post-traumatic chest wall hernia | Reconstruction involving subcostal area | XCM patch | Well |
| 21 | M | 52 | Post-traumatic chest wall hernia | Redo reconstruction | XCM patch | Well |
RTA: road traffic accident; VATS: video assisted thoracic surgery.