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Thorac Cardiovasc Surg 2016; 64(08): 631-640
DOI: 10.1055/s-0035-1570372
Review Article
Georg Thieme Verlag KG Stuttgart · New York

To Sink the Lifted: Selection, Technique, and Result of Laparoscopic Diaphragmatic Plication for Paralysis or Eventration

Eitan Podgaetz
1   Department of Thoracic and Foregut Surgery, University of Minnesota, Minneapolis, Minnesota, United States
,
Ilitch Diaz
1   Department of Thoracic and Foregut Surgery, University of Minnesota, Minneapolis, Minnesota, United States
,
Rafael Santiago Andrade
1   Department of Thoracic and Foregut Surgery, University of Minnesota, Minneapolis, Minnesota, United States
› Author Affiliations
Further Information

Publication History

16 October 2015

04 November 2015

Publication Date:
31 December 2015 (online)

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Abstract

Introduction Diaphragmatic eventration is a congenital defect of the muscular portion of a hemidiaphragm that eventually leads to hemidiaphragmatic elevation and dysfunction. The clinical diagnosis of diaphragmatic eventration or diaphragmatic paralysis may be indistinguishable and diaphragmatic plication is the treatment of choice for both conditions.

Discussion We review the indications, patient selection, and surgical techniques for diaphragmatic plication. We explain our preferred technique and guide the reader step by step on our approach.

Conclusion Minimally invasive diaphragm plication techniques are effective alternatives to open transthoracic plication and result in significant improvement in dyspnea and quality of life in adequately selected patients.

Keywords

diaphragm - minimally invasive techniques - surgery/incisions
 

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