Diaphragmatic paralysis surgery: Difference between revisions
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==== 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:<ref name="pmid17658265">{{cite journal |vauthors=Versteegh MI, Braun J, Voigt PG, Bosman DB, Stolk J, Rabe KF, Dion RA |title=Diaphragm plication in adult patients with diaphragm paralysis leads to long-term improvement of pulmonary function and level of dyspnea |journal=Eur J Cardiothorac Surg |volume=32 |issue=3 |pages=449–56 |date=September 2007 |pmid=17658265 |doi=10.1016/j.ejcts.2007.05.031 |url=}}</ref> | ||
**Dyspnea in strenous physical activity | **Dyspnea in strenous physical activity | ||
**Underlying severe pulmonary disease | **Underlying severe pulmonary disease | ||
Revision as of 17:00, 23 February 2018
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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:[1]
- 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:[2][3]
- 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
- ↑ Versteegh MI, Braun J, Voigt PG, Bosman DB, Stolk J, Rabe KF, Dion RA (September 2007). "Diaphragm plication in adult patients with diaphragm paralysis leads to long-term improvement of pulmonary function and level of dyspnea". Eur J Cardiothorac Surg. 32 (3): 449–56. doi:10.1016/j.ejcts.2007.05.031. PMID 17658265.
- ↑ 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.