横隔膜縫縮術における下部胸部硬膜外ブロック：症例報告

Jes Jose¹, Nagarjuna Panidapu¹, Soundarya Murgesh Kalligudd¹

¹Department of Cardiac Anaesthesiology and Critical Care, Amrita Institute of Medical Sciences, Amrita Lane, Kochi, Kerala, India.

|January 16, 2026

Abstract:

Acquired diaphragmatic eventration (DE) is an uncommon condition characterized by all or a portion of the diaphragmatic muscle replaced by a thin fibroelastic sheath, resulting in an abnormal elevation of the hemidiaphragm. Currently, the treatment of choice for symptomatic DE is a minimally invasive diaphragmatic plication via a video-assisted thoracoscopic or robotic approach. Surgical diaphragmatic plication is often associated with increased intra-abdominal pressure (IAP) and associated complications. This report describes the usefulness of lower thoracic epidural block in the management of raised IAP following surgical plication of the diaphragm.

キーワード:

横隔膜ヘルニア横隔膜縫縮術腹腔内高血圧胸部硬膜外ブロック

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