Use of gelatin matrix to rapidly repair diaphragmatic injury during laparoscopy

Urology. 2002 Sep;60(3):514. doi: 10.1016/s0090-4295(02)01771-5.

Abstract

Iatrogenic diaphragmatic injury during laparoscopy has necessitated intracorporeal suturing and occasionally thoracostomy tube placement. We describe a technique to repair the diaphragm quickly using a novel gelatin thrombin matrix. The matrix can be administered through a trocar or hand-assist device and can rapidly seal small injuries, obviating the need for formal suture repair. The presented case and technique should be considered in selected small diaphragmatic injuries.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Renal Cell / surgery
  • Diaphragm / injuries*
  • Gelatin Sponge, Absorbable / therapeutic use*
  • Humans
  • Iatrogenic Disease
  • Intraoperative Complications / therapy*
  • Kidney Neoplasms / surgery
  • Laparoscopy / adverse effects*
  • Laparoscopy / methods
  • Male
  • Middle Aged
  • Nephrectomy / adverse effects
  • Nephrectomy / methods
  • Omentum / surgery
  • Rupture / therapy
  • Treatment Outcome

Substances

  • FloSeal Matrix