Human acellular dermal matrix: an innovative tool for diaphragmatic reconstruction in patients with large
Diego Avella1, Luis J Garcia, Niraj J Gusani
1Section of Surgical Oncology, Department of Surgery, Penn State College of Medicine, PO Box 850, 500 University Dr., H070, Hershey, PA 17033, USA.
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.
