Clinical and sonographic evaluation of the diaphragm after plication in adults with unilateral eventration: a retrospective study

Autor: Mohamed Abdel-Bary, Alaa Rashad, Hamed Elgendy, Mohammed Zaki, Mahmoud Youssef Abdelhamid, Morris Beshay, Khaled Mohamed Abdelaal
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: The Egyptian Journal of Bronchology, Vol 16, Iss 1, Pp 1-8 (2022)
Druh dokumentu: article
ISSN: 1687-8426
2314-8551
DOI: 10.1186/s43168-021-00108-4
Popis: Abstract Background We aim to assess the role of diaphragm ultrasonography in evaluating the outcome of surgical diaphragmatic plication in adults with symptomatic unilateral diaphragmatic eventration. Results Forty patients with symptomatic unilateral diaphragmatic eventration underwent surgical diaphragmatic plication between 2015 and 2020. The etiology was idiopathic in 34 (85%) cases, and 37 (92.5%) of them were suffering from dyspnea. Diaphragm ultrasonography showed no diaphragmatic movement on the affected side in 10 (25%) patients and a paradoxical movement in 30 (75%) patients. Surgical diaphragmatic plication was done successfully in all cases. Postoperative complications were reported in 3 (7.5%) cases, with no mortality. There was a highly significant improvement in dyspnea at 1 week and 6 months follow-up. CXR showed a highly significant decrease in the mean height of eventration at 1 week 3.7 ± 1.2 cm (P
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