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Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children

BACKGROUND: To evaluate our experience of early surgical plication for diaphragmatic eventration (DE) in infancy and childhood. METHODS: This study evaluated infants and children with symptomatic DE who underwent plication through an open transthoracic approach in our childhood development departmen...

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Autores principales: Alshorbagy, Ashraf, Mubarak, Yasser
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622030/
https://www.ncbi.nlm.nih.gov/pubmed/26509123
http://dx.doi.org/10.5090/kjtcs.2015.48.5.307
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author Alshorbagy, Ashraf
Mubarak, Yasser
author_facet Alshorbagy, Ashraf
Mubarak, Yasser
author_sort Alshorbagy, Ashraf
collection PubMed
description BACKGROUND: To evaluate our experience of early surgical plication for diaphragmatic eventration (DE) in infancy and childhood. METHODS: This study evaluated infants and children with symptomatic DE who underwent plication through an open transthoracic approach in our childhood development department between January 2005 and December 2012. Surgical plication was performed in several rows using polypropylene U-stitches with Teflon pledgets. RESULTS: The study included 12 infants and children (7 boys and 5 girls) with symptomatic DE (9 congenital and 3 acquired). Reported symptoms included respiratory distress (91.7%), wheezing (75%), cough (66.7%), and recurrent pneumonia (50%). Preoperative mechanical ventilatory support was required in 41.7% of the patients. The mean length of hospital stay was 6.3±2.5 days. The mean follow-up period was 24.3±14.5 months. Preoperative symptoms were immediately relieved after surgery in 83.3% of patients and persisted in 16.7% of patients one year after surgery. All patients survived to the end of the two-year follow-up and none had recurrence of DE. CONCLUSION: Early diagnosis and surgical plication of the diaphragm for symptomatic congenital or acquired diaphragmatic eventration offers a good clinical outcome with no recurrence.
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spelling pubmed-46220302015-10-27 Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children Alshorbagy, Ashraf Mubarak, Yasser Korean J Thorac Cardiovasc Surg Clinical Research BACKGROUND: To evaluate our experience of early surgical plication for diaphragmatic eventration (DE) in infancy and childhood. METHODS: This study evaluated infants and children with symptomatic DE who underwent plication through an open transthoracic approach in our childhood development department between January 2005 and December 2012. Surgical plication was performed in several rows using polypropylene U-stitches with Teflon pledgets. RESULTS: The study included 12 infants and children (7 boys and 5 girls) with symptomatic DE (9 congenital and 3 acquired). Reported symptoms included respiratory distress (91.7%), wheezing (75%), cough (66.7%), and recurrent pneumonia (50%). Preoperative mechanical ventilatory support was required in 41.7% of the patients. The mean length of hospital stay was 6.3±2.5 days. The mean follow-up period was 24.3±14.5 months. Preoperative symptoms were immediately relieved after surgery in 83.3% of patients and persisted in 16.7% of patients one year after surgery. All patients survived to the end of the two-year follow-up and none had recurrence of DE. CONCLUSION: Early diagnosis and surgical plication of the diaphragm for symptomatic congenital or acquired diaphragmatic eventration offers a good clinical outcome with no recurrence. The Korean Society for Thoracic and Cardiovascular Surgery 2015-10 2015-10-05 /pmc/articles/PMC4622030/ /pubmed/26509123 http://dx.doi.org/10.5090/kjtcs.2015.48.5.307 Text en Copyright © 2015 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Research
Alshorbagy, Ashraf
Mubarak, Yasser
Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children
title Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children
title_full Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children
title_fullStr Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children
title_full_unstemmed Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children
title_short Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children
title_sort open transthoracic plication of the diaphragm for unilateral diaphragmatic eventration in infants and children
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622030/
https://www.ncbi.nlm.nih.gov/pubmed/26509123
http://dx.doi.org/10.5090/kjtcs.2015.48.5.307
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