Diaphragmatic paralysis surgery: Difference between revisions

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==== Unilateral diaphragmatic paralysi ====
==== Unilateral diaphragmatic paralysi ====
* Surgical plication of the involved hemidiaphragm:<ref name="pmid15108692">{{cite journal |vauthors=Hüttl TP, Wichmann MW, Reichart B, Geiger TK, Schildberg FW, Meyer G |title=Laparoscopic diaphragmatic plication: long-term results of a novel surgical technique for postoperative phrenic nerve palsy |journal=Surg Endosc |volume=18 |issue=3 |pages=547–51 |date=March 2004 |pmid=15108692 |doi=10.1007/s00464-003-8127-8 |url=}}</ref>
* Surgical plication of the involved hemidiaphragm:<ref name="pmid15108692">{{cite journal |vauthors=Hüttl TP, Wichmann MW, Reichart B, Geiger TK, Schildberg FW, Meyer G |title=Laparoscopic diaphragmatic plication: long-term results of a novel surgical technique for postoperative phrenic nerve palsy |journal=Surg Endosc |volume=18 |issue=3 |pages=547–51 |date=March 2004 |pmid=15108692 |doi=10.1007/s00464-003-8127-8 |url=}}</ref><ref name="pmid3927067">{{cite journal |vauthors=Wright CD, Williams JG, Ogilvie CM, Donnelly RJ |title=Results of diaphragmatic plication for unilateral diaphragmatic paralysis |journal=J. Thorac. Cardiovasc. Surg. |volume=90 |issue=2 |pages=195–8 |date=August 1985 |pmid=3927067 |doi= |url=}}</ref>
** 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.

Revision as of 16:10, 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:
    • [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.
  • 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

  1. 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.
  2. 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.

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