ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Teruhisa Kazui
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Suzuki, K.
Right arrow Articles by Kazui, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Suzuki, K.
Right arrow Articles by Kazui, T.
Related Collections
Right arrow Diaphragm

Ann Thorac Surg 2002;74:209-212
© 2002 The Society of Thoracic Surgeons

Original article: general thoracic

Reconstruction of diaphragm using autologous fascia lata: an experimental study in dogs

Kazuya Suzuki, PhD*a, Tsuyoshi Takahashi, MDa, Yasushi Itou, MDa, Katsuyuki Asai, MDa, Hiroshi Shimota, MDa, Teruhisa Kazui, PhDa

a First Department of Surgery, Hamamatsu University School of Medicine, Handayama, Hamamatsu, Japan

Accepted for publication March 21, 2002.

* Address reprint requests to Dr Suzuki, Hamamatsu University School of Medicine, 1-20-1 Handayama, 431-3192 Hamamatsu, Japan
e-mail: kazuya36{at}hama-med.ac.jp

Background. We investigated whether fascia lata is an appropriate material for reconstruction of the diaphragm.

Methods. A diaphragmatic defect (2 cm by 5 cm) was reconstructed with a patch of autologous fascia lata in the experimental group (n = 12) and with expanded polytetrafluoroethylene in the control group (n = 12). Maximal tensile strength at the sutured region was measured serially.

Results. The maximal tensile strength at the sutured region reconstructed with the fascia lata was 1.14 ± 0.50 kgf 15 days and 2.04 ± 0.94 kgf 30 days after operation. The values were higher than those of expanded polytetrafluoroethylene (p < 0.0001). These values of fascia lata were close to the original maximal tensile strength of the muscular region of the diaphragm (1.52 to 1.66 kgf).

Conclusions. Reconstruction of diaphragm using autologous fascia lata is safe, easy, and inexpensive, and provides smooth wound healing. The only disadvantage is the necessity of a femoral incision for harvest; nevertheless, it may be worthwhile to use fascia lata in clinical trials to further assess its suitability as a reconstruction material.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2002 by The Society of Thoracic Surgeons.