Israeli surgeons use custom 3D implant to reconstruct patient's chest after rare cancer surgery

Surgeons at Israel's Clalit-Beilinson Hospital have achieved a medical first, reconstructing a young woman's chest wall with a custom 3D-printed implant after removing a rare tumor. The patient, identified as Hadas, required the removal of her sternum and portions of her ribs due to an exceptionally rare sarcoma.

This complex procedure, described as one of the most challenging in thoracic surgery, necessitated a precise reconstruction to maintain respiratory function and protect vital organs. Dr. Yury Peysakhovich, Head of Thoracic Surgery, emphasized the critical nature of this anchor point for the entire chest, where any breath or movement places significant stress.

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Rare cases require creative solutions.

Traditional reconstruction methods like mesh, titanium, or bone cement were bypassed in favor of a fully customized 3D-printed implant made from PEKK. Dr. Israel Weiss, Head of Orthopedic Oncology, explained that this material closely mimics natural bone's strength and flexibility, crucial for the chest's constant movement. The implant also allows for gradual integration with surrounding tissue over time.

The successful surgery, lasting approximately two hours, utilized a discreet incision to minimize visible scarring, marking a significant advancement in reconstructive surgery in Israel.

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If reconstruction is not precise, both respiratory mechanics and protection of the heart and lungs can be compromised. Every breath, cough, or physical movement places significant stress on this area, making it one of the most complex reconstructions in thoracic surgery.