OBJECTIVE There is still controversy about the feasibility and long-term outcome of surgical treatment of acquired diaphragm paralysis. We analyzed the long-term effects on pulmonary function and level of dyspnea after unilateral or bilateral diaphragm plication. METHODS Between December 1996 and January 2006, 22 consecutive patients underwent diaphragm plication. Before surgery, spirometry i...

INTRODUCTION Thoracoscopic surgery is a popular widely used surgical technique in the treatment of common chest conditions. Conventional thoracoscopic surgery utilizes multiple small wounds for carrying out the procedure. Many procedures can also be performed with a single small port wound. In this study, we performed diaphragm plication using the techniques of single-port thoracoscopic surgery...

PURPOSE To evaluate the postoperative outcome of the multiple slit on plaque plication technique for the treatment of Peyronie's disease. MATERIALS AND METHODS We retrospectively evaluated 22 patients who underwent plaque incision with penile plication for the surgical treatment of Peyronie's disease, who had failed medical treatment between 2009 and 2014. Patients were grouped by preoperativ...

OBJECTIVES Paralysis of the diaphragm is an uncommon condition, which may result in dyspnoea on excertion and in orthopnea. In patients who have symptoms, the paralysed diaphragm is often plicated to prevent its paradoxical movement on inspiration. This procedure brings relief to many patients, but the mechanism for this improvement is not well understood. METHODS Nine symptomatic patients wh...

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...

mong all the forms of sculpture, the most interesting from a mathematical point of view may well be paper fold ing. In support of this assertion I would point out that paper folding requires a distinctive leap of the imagination from Flatland into Roundworld, from two dimensions to three. A sculptor who carves stone or models clay begins with a medium that is already three-dimensional, but the ...