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Institutional Experience With Chest Wall Reconstruction Using Sternal Steel Wires: A Case Series Study

NCT ID: NCT07148648

Last Updated: 2025-08-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

38 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-05-01

Study Completion Date

2025-07-31

Brief Summary

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Chest wall resections, often performed for tumors, infections, or trauma, result in significant defects that require reconstruction to restore structural integrity and functionality. The use of twisted stainless steel wires (No. 05) for chest wall reconstruction offers a cost-effective and practical alternative. Steel wires provide robust structural support, allow dynamic movement of the chest wall during respiration, and are associated with improved postoperative pain control.

Detailed Description

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The chest wall, a complex dynamic structure composed of both rigid and soft tissues, plays a vital role in protecting thoracic organs and maintaining the mechanics of respiration. Reconstruction following chest wall resection is critical not only to achieve defect closure but also to preserve respiratory mechanics and minimize postoperative complications. The primary goals include providing structural support, ensuring stability, and achieving soft tissue coverage while maintaining chest wall flexibility and minimizing pain. Chest wall reconstruction using sternal steel wires enable better chest wall recoil, which is crucial for maintaining normal respiratory mechanics. Additionally, studies suggest that the use of steel wires reduces the incidence of chronic pain, as they do not involve direct exposure to synthetic materials that could irritate surrounding tissues or provoke inflammatory responses. The affordability and simplicity of steel wire-based reconstruction make it particularly suitable for underserved populations in Pakistan, where healthcare resources are limited, and the majority of patients cannot afford expensive surgical materials.

Conditions

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Chest Wall Mechanics Chest Wall Deformity Chest Wall Tumor Chest Wall Disease

Keywords

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sternal steel wires chest wall reconstruction respiratory mechanics flail segment chest wall tumors chest wall resection

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Study Groups

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Wires Group

all the participants who undergo chest wall reconstruction using sternal steel wires, number 05 are included in this group.

Chest Wall Reconstruction

Intervention Type PROCEDURE

there are many methods described in literature for reconstruction of chest wall after chest wall resection. The investigators are focusing on chest wall reconstruction using steel wires in this study.

Interventions

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Chest Wall Reconstruction

there are many methods described in literature for reconstruction of chest wall after chest wall resection. The investigators are focusing on chest wall reconstruction using steel wires in this study.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing chest wall resection due to tumors or trauma.

Exclusion Criteria

* Patients with contraindications to General Anesthesia.
* Patients having chest wall infection.
* Patients with pre-existing chest wall deformities or severe chronic respiratory diseases.
* Patients who undergo reoperation or develop intraoperative complications affecting the chest wall reconstruction.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Health Sciences Lahore

OTHER

Sponsor Role lead

Responsible Party

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Zeeshan Sarwar

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Muhammad Shoaib Nabi, Professor Of Thoracic Surgery

Role: PRINCIPAL_INVESTIGATOR

Services Institute Of Medical Sciences (SIMS), Services Hospital, Lahore

Locations

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Services Institute Of Medical Sciences (SIMS), Services Hospital, Lahore

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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IRB/2025/1653/SIMS

Identifier Type: -

Identifier Source: org_study_id