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Journal of Cardiothoracic Surgery

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Open Access 01-12-2021 | Lung Cancer | Research article

Diaphragm reconstruction by GORE DUALMESH in patients undergoing resection for thoracic malignancies

Authors: Atsushi Sano, Yoko Azuma, Takashi Sakai, Satoshi Koezuka, Hajime Otsuka, Akira Iyoda

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Background

We used GORE DUALMESH for the reconstruction of diaphragms in patients with thoracic malignancies. Here, we report the results.

Methods

Between July 2015 and August 2017, diaphragm reconstruction using 2-mm GORE DUALMESH was performed in 7 patients undergoing surgical resection for thoracic malignancies. After resection of the diaphragm, the mesh was trimmed to the size of defect and placed with the smooth surface facing the chest cavity and the rough surface facing the abdomen. It was fixed with interrupted sutures consisting of synthetic monofilament nonabsorbable 1–0 to 2 threads.

Results

Indications for resection were malignant pleural mesothelioma and primary lung cancer in 5 and 2 patients, respectively. Patients with malignant pleural mesothelioma underwent pleurectomy with decortication; patients with primary lung cancer underwent lung lobectomy. Right and left diaphragm reconstruction was performed for 4 and 3 patients, respectively. Neither complications related to diaphragm reconstruction nor displacement of mesh occurred during a follow-up period ranging from 11 days to 37 months.

Conclusions

GORE DUALMESH is a good synthetic material for diaphragm reconstruction, because its smooth surface prevents adhesions to the lung and its rough surface allows adherence to abdominal tissue.

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Title: Diaphragm reconstruction by GORE DUALMESH in patients undergoing resection for thoracic malignancies
Authors: Atsushi Sano
Yoko Azuma
Takashi Sakai
Satoshi Koezuka
Hajime Otsuka
Akira Iyoda
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Lung Cancer
Seroma
Lung Cancer
Pleural Mesothelioma
Pleural Mesothelioma
Pleurectomy
Lung Cancer
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01449-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Diaphragm reconstruction by GORE DUALMESH in patients undergoing resection for thoracic malignancies

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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