Lower Thoracic Epidural Block in Diaphragmatic Plication: A Case Report

Area of Science:

• Thoracic Surgery
• Anesthesiology
• Pulmonology

Background:

• Acquired diaphragmatic eventration (DE) involves abnormal hemidiaphragm elevation due to muscle replacement.
• Current treatment for symptomatic DE is minimally invasive diaphragmatic plication.

Purpose of the Study:

• To describe the utility of lower thoracic epidural block for managing elevated intra-abdominal pressure (IAP) post-diaphragmatic plication.

Main Methods:

• Case report detailing the application of lower thoracic epidural block.
• Monitoring of intra-abdominal pressure and associated complications.

Main Results:

• Lower thoracic epidural block demonstrated usefulness in managing raised IAP.
• Potential reduction in complications associated with elevated IAP.

Conclusions:

• Lower thoracic epidural block is a valuable adjunct in the management of patients undergoing diaphragmatic plication.
• This technique may mitigate risks associated with increased IAP following DE surgery.