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- Title
Double polytetrafluoroethylene patch repair for diaphragmatic defect caused by diaphragmatic rupture following diaphragmatic resection with endostapler.
- Authors
Komatsu, Hiroaki; Furukawa, Nao; Kinoshita, Hirotaka; Okabe, Kazunori
- Abstract
A 41-year-old man developed phrenic nerve palsy after the resection of anterior mediastinal tumor, who underwent diaphragmatic resection with an endostapler. After the surgery, the surgical stump ruptured, resulting in a large diaphragmatic defect with the liver prolapsing into the thoracic cavity. Then, the diaphragmatic defect was closed with a polytetrafluoroethylene (PTFE) patch. The diaphragm was reconstructed using a second PTFE patch overlaying the diaphragmatic defect that had been closed by the first PTFE patch, because solely patching the diaphragmatic defect had a risk of recurrence of diaphragmatic elevation due to remaining original diaphragm and the presence of phrenic nerve palsy. The second PTFE patch was fixed to the lower ribs by non-absorbable suture. The postoperative course was favorable. After 3 months, his symptoms and pulmonary function improved. We underwent double PTFE patch repair in a patient with both huge diaphragmatic defect and phrenic nerve palsy.
- Subjects
PHRENIC nerve; POLYTEF; STAPLERS (Surgery); CHEST (Anatomy); MEDIASTINAL tumors; PARALYSIS
- Publication
Journal of Surgical Case Reports, 2024, Vol 2024, Issue 1, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjae005