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A new technique of diaphragmatic patch fixation in extrapleural pneumonectomy
Marco Schiavon1, Antonio De Filippis, Giuseppe Marulli
1Department of Cardiac, Thoracic and Vascular Sciences, Thoracic Surgery Division, University of Padova, Medical School, Via Giustiniani, 2, 35128 Padua, Italy.
Abstract:
Extrapleural pneumonectomy (EPP) is an established surgical treatment for malignant mesothelioma; this operation is, however, burdened by a high rate of perioperative morbidity, mostly related to the surgical procedure. Diaphragmatic patch dehiscence is a potentially serious complication often related to the difficulty in placement of the fixing stitches, especially in the costo-phrenic angle. We present our experience with the use of titanium-plate support for an easy and safe positioning of the diaphragmatic patch.
