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Communications to the Editor |

Prosthetic Reconstruction of the Resected Diaphragm : The Way To Go FREE TO VIEW

Gaetano Rocco, MD, FCCP; Erino A. Rendina, MD
Author and Funding Information

University of Sheffield Sheffield, United Kingdom University La Sapienza Rome, Italy

Correspondence to: Gaetano Rocco, MD, FCCP, Department of Cardiothoracic Surgery, Northern General Hospital, Herries Rd, S5 7AU Sheffield, UK.



Chest. 2001;119(2):671. doi:10.1378/chest.119.2.671
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To the Editor:

We read with much interest the article by Menezes and colleagues in CHEST (May 2000),1regarding the functional outcome of primary as opposed to prosthetic (polytetrafluoroethylene) reconstruction of the diaphragm. Their conclusion is that, “ . . . at least from a mechanical standpoint . . . ,” prosthetic reconstruction is to be preferred to the primary closure of large diaphragmatic defects. In our recent, retrospective, bi-institutional review2 of 15 patients having undergone resection of the diaphragm involved by primary lung cancer, we have proved that extended resections along with the prosthetic replacement of the resected diaphragm may portend a better long-term prognosis. We, as thoracic surgeons, have wondered what the functional outcome of a prosthetic reconstruction of the diaphragm could possibly be. Menezes and coworkers1 should be commended on providing us with the answer. Both under an oncologic and functional point of view, prosthetic (polytetrafluoroethylene) reconstruction of the diaphragm is the method of choice when large diaphragmatic defects need to be repaired.

Menezes, SLS, Chagas, PSC, Macedo-Neto, AV, et al (2000) Suture or prosthetic reconstruction of experimental diaphragmatic defects: respiratory repercussionsChest117,1443-1448. [CrossRef] [PubMed]
 
Rocco, G, Rendina, EA, Meroni, A, et al Prognostic factors after surgical treatment of lung cancer invading the diaphragm.Ann Thorac Surg1999;68,2065-2068. [CrossRef] [PubMed]
 

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References

Menezes, SLS, Chagas, PSC, Macedo-Neto, AV, et al (2000) Suture or prosthetic reconstruction of experimental diaphragmatic defects: respiratory repercussionsChest117,1443-1448. [CrossRef] [PubMed]
 
Rocco, G, Rendina, EA, Meroni, A, et al Prognostic factors after surgical treatment of lung cancer invading the diaphragm.Ann Thorac Surg1999;68,2065-2068. [CrossRef] [PubMed]
 
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