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

Resection of mass

Mass prior to removal

Mass removed and chest and abdomen opened with lung to right
Diaphragm reattached with PTFE patch

Defect reconstructed with mesh

Final result