Reconstruction of Thoracic Postresection Defects by TiNi-based Implant

Abstract

This article describes original surgical methods and the results of reconstruction of postresectional pericardium defects, diaphragm defects and chest wall defects with the use of nickel-titanium implants. The aspects of integration of developed surgical methods and methodology in the creation of implants by means of modern computer technologies during surgical planning in thoracic oncology are presented. The aspects of integration were first studied during surgical experiments on animals and then the following application in clinics. The reconstruction of pericardium defects in 17 cases, the diaphragm defects reconstruction in six cases and chest wall defects reconstruction in six cases will be presented. Satisfactory and excellent functional results were achieved following the surgeries. Respiratory function disorders and instability of the rib cage were not revealed in the late postoperative period under the dynamic control.