Fig. 3From: Thoracoscopic and laparoscopic approach for pleuroperitoneal communication under peritoneal dialysis: a report of four casesSurgical findings of case 1. a A pore was detected on the central tendon of the diaphragm with a thoracoscope (arrow). b Bubbles were observed in this small pore after pneumoperitoneum (arrowhead). c Small pores were closed with a single 4–0 non-absorbable monofilament Z suture. d The central tendon around the reinforcement was covered with a sheet of absorbable polyglycolic acid felt and sprayed with fibrin glue on the thoracic sideBack to article page