{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:28:55Z","timestamp":1760146135608,"version":"build-2065373602"},"reference-count":9,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Primary and secondary tumors of the abdominal lower third of the bony thorax are relatively rare. Therefore, indications and techniques for chest wall reconstructions in this area are not well defined. Methods: The techniques for reconstructing basal chest wall defects using the diaphragm are described. Indications for phrenoplasty are limited to reconstruction after full-thickness resection of at least two of the last four ribs in the midaxillary line. The diaphragm can be used for reconstructive purposes both if it is intact and if it is partially involved in the resection of the chest wall. Results: At our institution, the abovementioned reconstructive technique was successfully performed in five patients with an uneventful post-operative course. Conclusions: The main advantages of these methods are the use of promptly available, high-quality autologous tissue and the exclusion of the pleural space from the defect area, thus transforming a thoracic defect into an abdominal one. The disadvantage is a variable reduction in the volume of the hemithorax. These techniques could be compared with other reconstruction techniques using pre-\/post-operative respiratory functional tests.<\/jats:p>","DOI":"10.3390\/jcm13195928","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T12:02:20Z","timestamp":1728043340000},"page":"5928","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Phrenoplasty Techniques for the Reconstruction of Basal Chest Wall Defects"],"prefix":"10.3390","volume":"13","author":[{"given":"Francesco","family":"Puma","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, University of Perugia Medical School, Ospedale Santa Maria della Misericordia, 06123 Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Ceccarelli","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University of Perugia Medical School, Ospedale Santa Maria della Misericordia, 06123 Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Melis","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University of Perugia Medical School, Ospedale Santa Maria della Misericordia, 06123 Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4553-3973","authenticated-orcid":false,"given":"Domenico","family":"Pourmolkara","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University of Perugia Medical School, Ospedale Santa Maria della Misericordia, 06123 Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1963-8592","authenticated-orcid":false,"given":"Eleonora","family":"Coviello","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University of Perugia Medical School, Ospedale Santa Maria della Misericordia, 06123 Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Amatucci","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University of Perugia Medical School, Ospedale Santa Maria della Misericordia, 06123 Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2460-9657","authenticated-orcid":false,"given":"Niccol\u00f2","family":"Daddi","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University of Bologna \u201cAlma Mater Studiorum\u201d, Ospedale S. Orsola, 40126 Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacopo","family":"Vannucci","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery and Lung Transplantation, University of Rome Sapienza, Policlinico Umberto I, 00185 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"key":"ref_1","unstructured":"Mathisen, D.J., Morse, C.R., and Fischer, J.E. (2015). Chest wall resection\/reconstruction for tumors. Master Techniques in Surgery, W Kluwer. Thoracic Surgery."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"S1855","DOI":"10.21037\/jtd.2018.05.191","article-title":"Chest wall resection and reconstruction for tumors: Analysis of oncological and functional outcome","volume":"10","author":"Scarnecchia","year":"2018","journal-title":"J. Thorac. Dis."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"S855","DOI":"10.21037\/jtd.2016.05.51","article-title":"Primary lung tumors invading the chest wall","volume":"8","author":"Filosso","year":"2016","journal-title":"J. Thorac. Dis."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1183\/09031936.00141607","article-title":"Paradoxical movement of the lower ribcage at rest and during exercise in COPD patients","volume":"33","author":"Aliverti","year":"2009","journal-title":"Eur. Respir. J."},{"key":"ref_5","first-page":"454","article-title":"Present indications for space-diminishing procedures after pulmonary resections for tuberculosis","volume":"112","author":"Bjork","year":"1957","journal-title":"Acta Chir. Scand."},{"key":"ref_6","unstructured":"Biocca, P. (1983). Chirurgia toraco-polmonare. Trattato di Tecnica Chirurgica, Piccin Ed."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s13019-020-1064-y","article-title":"11-year experience with Chest Wall resection and reconstruction for primary Chest Wall sarcomas","volume":"15","author":"Wald","year":"2020","journal-title":"J. Cardiothorac. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1080\/2000656X.2017.1372292","article-title":"Diaphragm reconstruction combined with thoraco-abdominal wall reconstruction after tumor resection","volume":"52","author":"Kuwahara","year":"2018","journal-title":"J. Plast. Surg. Hand Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1186\/s13019-021-01577-w","article-title":"Chest wall and diaphragm reconstruction; a technique not well established in literature\u2014Case report","volume":"16","author":"Kakish","year":"2021","journal-title":"J. Cardiothorac. Surg."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/19\/5928\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:10:47Z","timestamp":1760112647000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/19\/5928"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,4]]},"references-count":9,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["jcm13195928"],"URL":"https:\/\/doi.org\/10.3390\/jcm13195928","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2024,10,4]]}}}