OBJECTIVE: @entity1 with advanced or recurrent @entity43 often have metastatic disease in the upper abdominal region, especially to the right hemidiaphragm, which requires diaphragmatic resection in order to achieve optimal cytoreduction. The aim of this surgical video is to demonstrate repair of a @entity130 and placement of tube thoracostomy during right upper quadrant peritonectomy in a @entity1 with recurrent @entity43 . METHODS: This is the case of a 45-year-old @entity1 presented with @entity902 sensitive recurrent @entity43 . Abdomen computed tomography also confirmed peritoneal @entity189 and pelvic recurrent mass. HIPEC was administered after complete cytoreduction including bilateral upper quadrant peritonectomy, during which @entity130 occurred near the central tendon and @entity1143 was entered. We inserted a chest tube through the 6th intercostal space in the anterior axillary line in order to prevent postoperative massive @entity1143 . @entity2914 was closed primarily after the tube placement. The chest tube was withdrawn on the third postoperative day and the @entity1 was discharged on postoperative day 25 without any complications. RESULTS: The central tendon of diaphragm is the most vulnerable part for lacerations. Diaphragmatic repairs could be performed by various techniques; interrupted or continuous, locking or non-locking sutures, with either permanent or absorbable materials. In our view, all of the techniques provide similar results and surgeons can choose any of them as long as they are comfortable with the procedure. CONCLUSION: In most cases, these lacerations can be repaired primarily without necessitating tube thoracostomy. However, performance of HIPEC can cause massive @entity1143 which can lead to significant pulmonary morbidity. Therefore, retrograde placement of the chest tube under direct vision is quite straightforward when the diaphragm is opened.

Repair of XXXX and placement of tube thoracostomy during right upper quadrant peritonectomy.

@entity1 :: ('9606', 'Species') :: ['Patients', 'woman', 'patient'] @entity43 :: ('MESH:D010051', 'Disease') :: ['ovarian cancer'] @entity1143 :: ('MESH:D010996', 'Disease') :: ['pleural effusion', 'pleural effusions', 'pleural cavity'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinomatosis'] @entity2914 :: ('MESH:D065630', 'Disease') :: ['Diaphragmatic defect'] @entity902 :: ('MESH:D010984', 'Chemical') :: ['platinum'] @entity130 :: ('MESH:D014947', 'Disease') :: ['diaphragmatic injury']
@entity130 :: (MESH:D014947,Disease) :: ['diaphragmatic injury']
