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

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

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.

MeSH terms

  • Aged
  • Collagen*
  • Diaphragm / surgery*
  • Digestive System Neoplasms / pathology
  • Digestive System Neoplasms / surgery*
  • Female
  • Follow-Up Studies
  • Graft Rejection
  • Graft Survival
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Plastic Surgery Procedures / methods*
  • Retroperitoneal Neoplasms / pathology
  • Retroperitoneal Neoplasms / surgery*
  • Risk Assessment
  • Sampling Studies
  • Surgical Flaps
  • Treatment Outcome
  • Wound Healing / physiology

Substances

  • Alloderm
  • Collagen