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Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children

Ashraf Alshorbagy1, Yasser Mubarak1

  • 1Cardiothoracic Surgery Department, Minia University Hospital.

The Korean Journal of Thoracic and Cardiovascular Surgery
|October 29, 2015
PubMed

Insights

Early surgical plication for diaphragmatic eventration (DE) in infants and children provides excellent outcomes. This procedure effectively resolves symptoms and prevents recurrence in pediatric patients with DE.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Congenital Abnormalities

Background:

  • Diaphragmatic eventration (DE) is a condition affecting infants and children.
  • Symptomatic DE can lead to significant respiratory issues.

Purpose of the Study:

  • To evaluate the experience and outcomes of early surgical plication for diaphragmatic eventration in pediatric patients.
  • To assess the efficacy and safety of open transthoracic plication for DE.

Main Methods:

  • Retrospective evaluation of 12 infants and children with symptomatic DE undergoing open transthoracic plication.
  • Surgical technique involved multi-row polypropylene U-stitches with Teflon pledgets.
  • Study period: January 2005 to December 2012.

Main Results:

  • 12 patients (9 congenital, 3 acquired DE) with symptoms including respiratory distress, wheezing, cough, and recurrent pneumonia.
  • 83.3% of patients experienced immediate symptom relief post-surgery.
  • All patients survived the follow-up period with no recurrence of DE.

Conclusions:

  • Early surgical plication is a safe and effective treatment for symptomatic diaphragmatic eventration in children.
  • The procedure offers good clinical outcomes and a low recurrence rate.
  • Timely intervention for DE leads to positive long-term results in pediatric patients.
Abstract

Keywords:
DiaphragmEventrationPlicationThoracotomy

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