fig5

Figure 5. Management of extensive subcostal lateral abdominal wall defects. (A) Anatomic relationship of the diaphragm and the lateral abdominal wall. (B) Subcostal defect. (C) Underlay mesh placement to reinforce and re-establish separation between the thoracic and abdominal cavities. The mesh-diaphragm-abdominal wall complex is affixed to the intact rib.