Reconstruction of diaphragm using autologous fascia lata: an experimental study in dogs  Kazuya Suzuki, PhD, Tsuyoshi Takahashi, MD, Yasushi Itou, MD,

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Reconstruction of diaphragm using autologous fascia lata: an experimental study in dogs  Kazuya Suzuki, PhD, Tsuyoshi Takahashi, MD, Yasushi Itou, MD, Katsuyuki Asai, MD, Hiroshi Shimota, MD, Teruhisa Kazui, PhD  The Annals of Thoracic Surgery  Volume 74, Issue 1, Pages 209-212 (July 2002) DOI: 10.1016/S0003-4975(02)03635-4

Fig 1 Changes in tensile strength at suture line. Sutured region using fascia lata shows higher tensile strength (as strong as original diaphragm) than that using expanded polytetrafluoroethylene (ePTFE) on 15 and 30 days after reconstruction. The Annals of Thoracic Surgery 2002 74, 209-212DOI: (10.1016/S0003-4975(02)03635-4)

Fig 2 Pathologic findings 30 days after reconstruction (hematoxylin and eosin-stained section, ×20). (A) A specimen reconstructed with expanded polytetrafluoroethylene (ePTFE) is not unified with the surrounding tissue even after 4 weeks. Foreign body reactions (white arrows) are observed, and the expanded polytetrafluoroethylene patch could be easily detached (black arrows). (B) Autologous fascia lata is buried in the tissue as if it is a part of the original diaphragm. Viable cells and vessels are present, and no inflammatory reaction is observed. The Annals of Thoracic Surgery 2002 74, 209-212DOI: (10.1016/S0003-4975(02)03635-4)

Fig 2 Pathologic findings 30 days after reconstruction (hematoxylin and eosin-stained section, ×20). (A) A specimen reconstructed with expanded polytetrafluoroethylene (ePTFE) is not unified with the surrounding tissue even after 4 weeks. Foreign body reactions (white arrows) are observed, and the expanded polytetrafluoroethylene patch could be easily detached (black arrows). (B) Autologous fascia lata is buried in the tissue as if it is a part of the original diaphragm. Viable cells and vessels are present, and no inflammatory reaction is observed. The Annals of Thoracic Surgery 2002 74, 209-212DOI: (10.1016/S0003-4975(02)03635-4)