Short-term absorbable material for diaphragmatic replacement

To evaluate absorbable materials for use for replacement of the diaphragm, we implanted materials in experimentally-created diaphragmatic defects in p igs. As a short-term absorbable material, bovine serosa (BS) was used. Its absorption was complete after 4-6 weeks. In a control group, the defect was repaired with a continuous running polypropylene suture. In two other grou ps the defect was closed with lyophilized dura (LD) and a modified transver se abdominal muscle flap according to Hecker, respectively. Physical studie s (load capacity and elasticity) and histologic investigations were perform ed in one-half of the animals of each group after 3 and 6 months, respectiv ely. Considering their physical properties, it could be shown that all mate rials tested are suitable for replacement of the diaphragm, but that BS bes t resembled native diaphragm. We conclude that short-term absorbable BS is suitable for replacement of the diaphragm in pigs.