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Am J Surg. 2010 Jan;199(1):e12-6. doi: 10.1016/j.amjsurg.2009.04.011. Epub 2009 Oct 17.

Human acellular dermal matrix: an innovative tool for diaphragmatic reconstruction in patients with large intra-abdominal tumors.

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1
Section of Surgical Oncology, Department of Surgery, Penn State College of Medicine, PO Box 850, 500 University Dr., H070, Hershey, PA 17033, USA.

Abstract

BACKGROUND:

Patients presenting with large intra-abdominal tumors often require multivisceral organ resection including partial or complete hemidiaphragm excision to achieve complete gross and microscopic tumor resection.

METHODS:

The ideal surgical approach to the repair of major diaphragmatic defects, particularly in a contaminated surgical field, is not well defined, but the use of prosthetic mesh in these situations is contraindicated.

RESULTS:

We report our experience using human acellular dermal matrix for the repair of large diaphragmatic defects in these patients.

CONCLUSIONS:

Human acellular dermal matrix is a safe and effective option in the surgical reconstruction of diaphragmatic defects in patients with large intra-abdominal tumors.

PMID:
19837394
DOI:
10.1016/j.amjsurg.2009.04.011
[Indexed for MEDLINE]
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