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A Complication of Diaphragm Repair Using a Gore-Tex (Expanded Polytetrafluorethylene) Membrane: A Case Report

  • Lee, Seungwook (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Hong, Sung Yeon (Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Ajou University School of Medicine) ;
  • Son, Jung A (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Hyun, Seungji (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine) ;
  • Haam, Seokjin (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine)
  • Received : 2021.09.30
  • Accepted : 2021.11.16
  • Published : 2022.04.05

Abstract

A 65-year-old man underwent right trisectionectomy of the liver and reconstruction of the chest wall and diaphragm with a 2-mm Gore-Tex membrane due to recurrent hepatocellular carcinoma. After 3 years, the Gore-Tex membrane in the diaphragm migrated to the abdominal cavity and perforated the colon. We report a rare complication of a Gore-Tex membrane after diaphragm repair.

Keywords

References

  1. Bertoglio P, Garelli E, Brandolini J, et al. Surgical management and reconstruction of diaphragm, pericardium and chest wall in mesothelioma surgery: a review. J Clin Med 2021;10:2330. https://doi.org/10.3390/jcm10112330
  2. Weiss JP, Lorenzo FV, Campbell CD, Myerowitz RL, Webster MW. The behavior of infected arterial prostheses of expanded polytetrafluoroethylene (Gore-Tex). J Thorac Cardiovasc Surg 1977;73:630-6. https://doi.org/10.1016/s0022-5223(19)39905-2
  3. Woo HY, Hong SK, Cho JH, et al. Complications of polytetrafluoroethylene graft use in middle hepatic vein reconstruction in living donor liver transplantation: a retrospective, single-centre, long-term, real-world experience. Transpl Int 2021;34:455-64. https://doi.org/10.1111/tri.13807
  4. Avci T, Tasoglu I, Aygun E, Pac M. An unusual complication and imaging of PTFE membrane: report of a case. J Rare Dis Res Treat 2016;1:78-80. https://doi.org/10.29245/2572-9411/2016/3.1022
  5. Tatum RP, Shalhub S, Oelschlager BK, Pellegrini CA. Complications of PTFE mesh at the diaphragmatic hiatus. J Gastrointest Surg 2008;12:953-7. https://doi.org/10.1007/s11605-007-0316-7
  6. Kao AM, Arnold MR, Augenstein VA, Heniford BT. Prevention and treatment strategies for mesh infection in abdominal wall reconstruction. Plast Reconstr Surg 2018;142(3 Suppl):149S-155S. https://doi.org/10.1097/PRS.0000000000004871
  7. Solli P, Bertolaccini L, Brandolini J, Pardolesi A. Reconstructive techniques after diaphragm resection and use of the diaphragmatic flap in thoracic surgery. Shanghai Chest 2017;1:21. https://doi.org/10.21037/shc.2017.08.04
  8. Bassuner JK, Rice DC, Antonoff MB, et al. Polytetrafluoroethylene or acellular dermal matrix for diaphragmatic reconstruction? Ann Thorac Surg 2017;103:1710-4. https://doi.org/10.1016/j.athoracsur.2017.01.006