title: Use of gelatin matrix to rapidly repair diaphragmatic injury during laparoscopy.
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.
mesh_terms: D002292:Carcinoma, Renal Cell / Q000601:surgery; D003964:Diaphragm / Q000293:injuries*; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use*; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications / Q000628:therapy*; D007680:Kidney Neoplasms / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods; D009852:Omentum / Q000601:surgery; D012421:Rupture / Q000628:therapy; D016896:Treatment Outcome
chemical_list: C411004:FloSeal Matrix