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Is surgical plication necessary in diaphragm eventration?
Serdar Özkan1, Ülkü Yazici2, Ertan Aydin2
1Department of Thoracic Surgery, Siirt State Hospital, Siirt, Turkey.
Asian Journal of Surgery
|June 29, 2015
Summary
Diaphragm plication surgery improved respiratory function in patients with diaphragm eventration. Postoperative assessments showed reduced eventration and increased lung volumes, indicating a positive impact on respiration.
Area of Science:
- Thoracic surgery
- Pulmonary medicine
- Diagnostic imaging
Background:
- Diaphragm plication surgery aims to alleviate dyspnea caused by diaphragm eventration.
- This condition can lead to mediastinal shift, atelectasis, and ventilation/perfusion dyssynchrony.
Purpose of the Study:
- To evaluate the effect of diaphragm plication surgery on respiratory function.
- To analyze changes in respiratory function tests (RFTs) post-surgery.
Main Methods:
- Prospective study of 16 patients undergoing diaphragm plication for eventration or paralysis.
- Assessed diaphragm eventration using posteroanterior pulmonary radiographies.
- Compared pre- and postoperative RFT parameters including FEV1 and FVC.
- Utilized a patient satisfaction survey to assess symptom levels at 12 months post-surgery.
Main Results:
- Observed a 19%-23% decrease in diaphragm eventration at 1, 6, and 12 months post-surgery.
- Recorded an average increase of 0.2 L in FEV1 and 0.25 L in FVC.
- Patient surveys indicated symptom improvement.
Conclusions:
- Diaphragm plication surgery demonstrates positive outcomes in improving respiratory function.
- Careful patient selection is crucial, particularly for unilateral diaphragm eventrations in adults.
- Surgery is recommended for cases with significant mediastinal shift and respiratory failure due to diaphragm eventration.
