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Eventration of the diaphragm

Tugrul Tiryaki1, Ziya Livanelioğlu, Halil Atayurt

  • 1Pediatric Surgery Clinic, Social Security Institution Ankara Children's Hospital, Ankara, Turkey. httiryaki@hotmail.com

Asian Journal of Surgery
|January 24, 2006
PubMed

Insights

Diaphragmatic plication effectively treats symptomatic eventration of the diaphragm (ED) in children, restoring normal diaphragm position and resolving respiratory issues. Post-surgery, patients experienced symptom remission with no relapse observed.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Respiratory Medicine

Background:

  • Eventration of the diaphragm (ED) involves abnormal diaphragm elevation, potentially causing respiratory distress in children.
  • Symptomatic congenital or acquired ED often necessitates surgical intervention.

Purpose of the Study:

  • To evaluate the outcomes of diaphragmatic plication in pediatric patients with unilateral ED.
  • To assess the efficacy of surgical correction for symptomatic diaphragm elevation.

Main Methods:

  • Retrospective review of 15 children who underwent diaphragmatic plication for ED between 1997 and 2003.
  • Diagnosis confirmed via chest radiography and fluoroscopy; surgery pursued for non-operative treatment failures.
  • Post-operative diaphragmatic function assessed using fluoroscopy in 9 patients.

Main Results:

  • Diaphragmatic plication normalized diaphragm position in 14 of 15 patients.
  • Respiratory symptoms like tachypnea and pneumonia resolved post-surgery.
  • Post-operative fluoroscopy confirmed immobile diaphragms without paradoxical motion in evaluated patients.

Conclusions:

  • Diaphragmatic plication is an effective surgical treatment for symptomatic unilateral ED in children.
  • The procedure restores normal diaphragm location and function, leading to symptom remission.
  • Long-term follow-up showed no symptom relapse in patients with immobile diaphragms post-plication.
Abstract

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