1. Dual-layer sandwich mesh repair in the treatment of major diaphragmatic eventration in an adult 
Angelo Di Giorgio, MD, Carlo Luigi Cardini, MD, Paolo Sammartino, MD, Simone Sibio, MD, Enzo Naticchioni, MD 
The Journal of Thoracic and Cardiovascular Surgery 
Volume 132, Issue 1, Pages (July 2006)
DOI: /j.jtcvs
Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

2. Figure 1
The apex of the phrenic dome opened through a transversal incision.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )
Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

3. Figure 2
The suture line of single stitches performed between the 2 thicker and fleshy borders of the muscle. This resulted in two residual flaps of muscle, and the posterior thinner flap was excised. A dual mesh was tailored to fit the shape of the anterior flap and fixed with single stitches on the first suture line as reinforcement. The anterior flap was turned over and fixed around the borders of the diaphragm.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )
Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions