Diaphragmatic paralysis surgery: Difference between revisions
No edit summary |
No edit summary |
||
| Line 26: | Line 26: | ||
==== Unilateral diaphragmatic paralysi ==== | ==== Unilateral diaphragmatic paralysi ==== | ||
*Surgery is not the first-line treatment option for patients with unilateral diaphragmatic paralysis . Surgery is usually reserved for patients with either: | *Surgery is not the first-line treatment option for patients with unilateral diaphragmatic paralysis . Surgery is usually reserved for patients with either: | ||
** | **Dyspnea in strenous physical activity | ||
**Underlying severe pulmonary disease | |||
**[Indication 2] | **[Indication 2] | ||
**[Indication 3] | **[Indication 3] | ||
| Line 40: | Line 41: | ||
** It is performed via thoracotomy, video-assisted thoracoscopic surgery (VATS) or laparoscopy | ** It is performed via thoracotomy, video-assisted thoracoscopic surgery (VATS) or laparoscopy | ||
** Creating folds in the hemidiaphragm and suturing them reduce mobilty of involved hemidiaphragm. | ** Creating folds in the hemidiaphragm and suturing them reduce mobilty of involved hemidiaphragm. | ||
** Following surgery, the involved diaphragam does not paradoxically moved upward into the thorax during inspiration and ventilation will be improved in this way. | |||
** | |||
** | ** | ||
*The feasibility of surgery depends on the stage of [malignancy] at diagnosis. | *The feasibility of surgery depends on the stage of [malignancy] at diagnosis. | ||
Revision as of 16:56, 23 February 2018
|
Diaphragmatic Paralysis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Diaphragmatic paralysis surgery On the Web |
|
American Roentgen Ray Society Images of Diaphragmatic paralysis surgery |
|
Risk calculators and risk factors for Diaphragmatic paralysis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Surgical intervention is not recommended for the management of [disease name].
OR
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
OR
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
OR
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
Surgery is the mainstay of treatment for [disease or malignancy].
Indications
Unilateral diaphragmatic paralysi
- Surgery is not the first-line treatment option for patients with unilateral diaphragmatic paralysis . Surgery is usually reserved for patients with either:
- Dyspnea in strenous physical activity
- Underlying severe pulmonary disease
- [Indication 2]
- [Indication 3]
- The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
Surgery
Unilateral diaphragmatic paralysi
- Surgical plication of the involved hemidiaphragm:[1][2]
- It is performed via thoracotomy, video-assisted thoracoscopic surgery (VATS) or laparoscopy
- Creating folds in the hemidiaphragm and suturing them reduce mobilty of involved hemidiaphragm.
- Following surgery, the involved diaphragam does not paradoxically moved upward into the thorax during inspiration and ventilation will be improved in this way.
- The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
- Surgery is the mainstay of treatment for [disease or malignancy].
Contraindications
References
- ↑ Hüttl TP, Wichmann MW, Reichart B, Geiger TK, Schildberg FW, Meyer G (March 2004). "Laparoscopic diaphragmatic plication: long-term results of a novel surgical technique for postoperative phrenic nerve palsy". Surg Endosc. 18 (3): 547–51. doi:10.1007/s00464-003-8127-8. PMID 15108692.
- ↑ Wright CD, Williams JG, Ogilvie CM, Donnelly RJ (August 1985). "Results of diaphragmatic plication for unilateral diaphragmatic paralysis". J. Thorac. Cardiovasc. Surg. 90 (2): 195–8. PMID 3927067.