What is a diaphragmatic plication?
Plication of the diaphragm is performed for paralysis or eventration (abnormal elevation/shape) of the diaphragm which can result in breathing difficulties. Diaphragm paralysis is typically due to damage to the phrenic nerve; eventration is most commonly congenital.
Is diaphragm plication successful?
Higgs et al. also reported that diaphragmatic plication is an effective treatment for long-term in unilateral diaphragmatic paralysis and showed improvement of spirometry findings at long-term period up to 14 years [5].
Is diaphragm plication safe?
Laparoscopic diaphragmatic plication is a safe and effective operation in carefully selected patients. Laparoscopic diaphragm plication was first reported by Hüttl et al in three patients (1).
What is plication procedure?
Penile plication is a procedure used to treat Peyronie’s Disease, or penile curvature. Penile plication involves tightening the side of the penis opposing the curvature with stitches in order to straighten the penis. This stitching can typically be accomplished through a small incision along the side of your penis.
Can diaphragm plication be reversed?
Advances in nerve decompression and transplant have enabled Dr. Kaufman to reverse diaphragm paralysis. The techniques he utilizes are derived from the procedures commonly used to treat arm or leg paralysis, which have allowed surgeons to restore function to previously paralyzed muscle groups.
What is a lung plication?
Diaphragmatic plication is a procedure used to surgically treat diaphragmatic eventrations/paralysis. The procedure involves repositioning and/or reshaping the diaphragm to expand lung capacity and ultimately, improve breathing difficulties caused by these conditions.
How long is diaphragm plication surgery?
A diaphragmatic plication can be performed with either an open or thoracoscopic approach. Usually, it is performed under general anesthesia. The procedure takes about two hours.
How long does diaphragmatic plication surgery take?
What is the prognosis of diaphragmatic plication with phrenic nerve injury?
The four surviving patients (mean follow up 88 months) are all asymptomatic. Chest radiograph 3 weeks after diaphragmatic plication showing the left hemidiaphragm in a normal position. Phrenic nerve injury causes diaphragm muscle dysfunction which results in impaired work and efficiency of breathing.
How does the phrenic nerve control the diaphragm?
The phrenic nerve controls function of the diaphragm muscle, the primary muscle involved in breathing. Contraction of the diaphragm muscle permits expansion of the chest cavity and inhalation of air into the lungs.
What is the effect of plication on diaphragmatic recruitment?
More effective diaphragmatic recruitment occurs after plication leading to increased diaphragmatic strength and maximal voluntary ventilation.
What is phrenic nerve reconstruction?
The phrenic nerve controls function of the diaphragm muscle, the primary muscle involved in breathing. When this nerve becomes damaged, phrenic nerve reconstruction may be performed to reverse diaphragm paralysis.