Review of flow-volume curve after diaphragm plication

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Thoracoscopic diaphragm plication.

The diaphragm is grasped, and as much of the anterior diaphragm as possible is pulled into a retaining clamp. This maneuver is easier to perform for the right diaphragm than the left diaphragm, owing to the risk of incorporating viscera on the left. Upon initial placement of the clamp, it is evident that all of the diaphragm that would optimally be resected cannot occur in one application. This...

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Chest wall mechanics before and after diaphragm plication

BACKGROUND Following diaphragmatic plication for unilateral paralysis, the effect on global chest wall function are unknown. Our hypothesis was that chest wall function would improve in both sides of the chest after plication of the paralysed side. CASE PRESENTATION Using Optoelectronic Plethysmography, total and regional chest wall volumes were measured in one patient before and after left d...

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Phrenic nerve injury after paediatric heart surgery: is aggressive plication of the diaphragm beneficial?

OBJECTIVES Phrenic nerve injury after paediatric heart surgery is associated with significant morbidity. Surgical plication of the diaphragm is believed to be beneficial to the patient, with difficult weaning from ventilation; however, the optimal timing remains unclear. We aimed to compare the outcome after two different strategies for treating hemidiaphragmatic paresis. METHODS A retrospect...

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Long-term effect of bilateral plication of the diaphragm.

STUDY OBJECTIVES To assess the feasibility and clinical outcome of bilateral plication of the diaphragm in patients with bilateral diaphragmatic paralysis (BDP) caused by neuralgic amyotrophy (NA), a mononeuritis of the phrenic nerves. DESIGN Prospective, case-control study over a 1-year period. SETTING A university hospital in The Netherlands. PATIENTS Six patients who presented with BDP...

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Thoracoscopic Plication for Bilateral Eventration of Diaphragm in a Neonate

A 6-day-old female baby delivered by Caeserean section was admitted for respiratory distress. On admission, the baby was tachypnoeic, respiratory rate more than 60/ min with cyanosis requiring oxygen of 8 l/min to maintain satisfactory O2 saturation. An X-ray chest and abdomen taken, was suggestive of bilateral eventration of diaphragm (Fig. 1). An USG and CT scan confirmed the diagnosis. The E...

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ژورنال

عنوان ژورنال: The Journal of the Japanese Association for Chest Surgery

سال: 2010

ISSN: 0919-0945,1881-4158

DOI: 10.2995/jacsurg.24.794