Stapled Diaphragmatic Plication: Is It Better Than Suture Plication?

Area of Science:

• Thoracic surgery
• Pulmonology
• Medical device technology

Background:

• Diaphragm dysfunction, including eventration and high-riding diaphragm, can lead to significant respiratory compromise.
• Unilateral diaphragm paralysis, a common cause of eventration, reduces adult ventilatory function by approximately 25%.
• Diaphragm plication has been the standard surgical treatment since the 1920s, with evolving techniques and materials.

Purpose of the Study:

• To review the current literature on diaphragm plication for treating diaphragm eventration.
• To compare the clinical efficacy and benefits of using sutures versus staples in diaphragm plication procedures.

Main Methods:

• Systematic literature search for studies on diaphragm plication using sutures or staples.
• Analysis of relevant clinical outcomes and data from selected studies.
• Comparative assessment of suture and staple techniques based on available evidence.

Main Results:

• Diaphragm plication is an established treatment for diaphragm eventration.
• Evidence comparing suture and staple techniques for diaphragm plication is limited.
• Further research is needed to definitively determine if sutures or staples offer superior clinical benefits.

Conclusions:

• Diaphragm plication effectively addresses respiratory compromise caused by eventration.
• The choice between suture and staple techniques for diaphragm plication requires further investigation.
• Comparative studies are essential to guide optimal surgical practice for diaphragm eventration.