title: Result of using a biologic collagen implant (Permacol) for mesenteric defect repair after excision of a huge mesenteric lymphangioma in a child.
abstract: Mesenteric lymphangiomas, which involve near total mesentery, are extremely rare. A mesenteric lymphangioma should be treated through excision because they can cause invasion of vital structures, bleeding, or infection. After excision of a huge mesenteric lymphangioma, internal herniation may occur through a large mesenteric defect leading to intestinal volvulus, obstruction, and other life-threatening circumstances. We report a case in which a biologic collagen implant (Permacol) was used for mesenteric defect repair after excision of a huge mesenteric lymphangioma. The implant did not cause any symptoms or complications during follow-up for 4 years. When encountering large defects of mesentery, closure with implant can be a feasible choice, and Permacol could be a possible implant for closing the defect.
authors.affiliation: Department of Pediatric Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
authors.forename: Soo-Hong
authors.initials: SH
authors.lastname: Kim
authors.affiliation: Department of Pediatric Surgery, Seoul National University Children's Hospital, Seoul, Korea.
authors.forename: Kyung-Chul
authors.initials: KC
authors.lastname: Yoon
authors.affiliation: Department of Pediatric Surgery, Seoul National University Children's Hospital, Seoul, Korea.
authors.forename: Woohyung
authors.initials: W
authors.lastname: Lee
authors.affiliation: Department of Pediatric Surgery, Seoul National University Children's Hospital, Seoul, Korea.
authors.forename: Hyun-Young
authors.initials: HY
authors.lastname: Kim
authors.affiliation: Department of Pediatric Surgery, Seoul National University Children's Hospital, Seoul, Korea.
authors.forename: Sung-Eun
authors.initials: SE
authors.lastname: Jung
keywords: Mesenteric defect; Mesenteric lymphangioma; Permacol; Prostheses and implant; Repair material