title: Glutaraldehyde-preserved bovine pericardium for the repair of diaphragmatic defects due to extensive metastatic liver resection.
abstract: Closure of diaphragmatic defects, regardless of their cause, can often be achieved by direct suture. However, when a large defect secondary to tissue destruction has been observed, direct closure is likely to be difficult. The glutaraldehyde-preserved bovine pericardium is a biological material with high resistance and allows for easy surgical manipulation. This case report shows the use of these prostheses applied in a patient after massive diaphragm resection due to hepatectomy by colon metastasis invasion in the diaphragm muscle. To replace diaphragm muscle, the glutaraldehyde-preserved bovine pericardium prostheses showed a good result even after four laparotomies.
authors.affiliation: Unit of Liver Transplantation, Dept of Digestive Surgery, Faculty of Medical Science, State University of Campinas, SP/Brazil. ilka@fcm.unicamp.br
authors.forename: Ilka de Fatima
authors.initials: Ide F
authors.lastname: Boin
authors.forename: João Luiz
authors.initials: JL
authors.lastname: Joaquim
authors.forename: Luiz Sergio
authors.initials: LS
authors.lastname: Leonardi
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D000328:Adult; D001684:Biological Dressings; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D003964:Diaphragm / Q000473:pathology / Q000601:surgery*; D018450:Disease Progression; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D008297:Male; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D019919:Prosthesis Implantation; D012086:Reoperation / Q000379:methods