Chest wall reconstruction using Mersilene mesh and titanium rib plates after extensive tumour resection with immediate postoperative extubation: a case report.

A 36-year-old male presented with a progressively enlarging right anterior chest wall mass over one year. Preoperative biopsy revealed adenocarcinoma, with no definite primary tumor identified on thoracic imaging or evaluation of adjacent organs. Computed tomography demonstrated a large heterogeneous mass with rib destruction and extension into the surrounding soft tissue and pleura. The patient underwent en bloc resection of the involved chest wall, including the third to sixth ribs, followed by reconstruction using Mersilene mesh and titanium rib plates. The combined reconstruction provided soft tissue coverage, prevented intrathoracic herniation, and restored thoracic skeletal stability. Immediate postoperative extubation was achieved without paradoxical chest wall movement, flail chest, or respiratory compromise. This case highlights that combined mesh reinforcement and rigid fixation may support early thoracic stability after extensive chest wall resection. At the 6-month follow-up, the patient remained clinically stable without respiratory compromise, paradoxical chest wall movement, wound infection, prosthesis exposure, or clinically evident implant-related complication.