Yesterday we operated on a 48 year old lady with a right flank/chest wall mass. The lady has neurofibromatosis which is benign but occasionally becomes malignant. The mass invaded ribs 9-12. Resection would require resection the mass and ribs and reconstruction of the chest wall. 
We resected the mass/ribs, transfered the diaphragm to the 8th rib and reconstructed the resulting defect with mesh. Everything came back together great and the patient did well overnight. We are awaiting her pathology
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| Resection of mass |
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| Mass prior to removal |
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| Mass removed and chest and abdomen opened with lung to right |
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| Diaphragm reattached with PTFE patch |
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| Defect reconstructed with mesh |
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| Final result |
