laparoscopic diaphragmatic plication as described here ... Laparoscopic diaphragmatic plication was done in a 30° reversed ...
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www.springerlink.com/index/04LKXNAQ0J2AJ2W3.pdf
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; Diaphragm paralysis in adults can cause severe dyspnea which results from the paradoxical movement of the diaphragm. Surgical plication can be done with excellent long-term results. ... The recovery of diaphragmatic strength, however, is highly variable. If there is no sign of recovery at all after one year,
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mmcts.ctsnetjournals.org/cgi/content/full/2007/1217/mmc...
mmcts.ctsnetjournals.org/cgi/content/full/2007/1217/mmcts.2006.002568
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I'm diagnosed with idiopathic diaphragmatic paralysis (right side). Doctors recommend diaphragmatic "plication" which may afford some relief. But they are reluctant to expound on the benefit of this invasive surgical procedure.
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www.medhelp.org/posts/Respiratory-Disorders/Diaphragmat...
www.medhelp.org/posts/Respiratory-Disorders/Diaphragmatic-Paralysis---Anatomy-Question/show/284101
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Plication of the diaphragm by thoracotomy is the usual method used for ... Recently, diaphragmatic plication by thoracoscopy became an acceptable ...
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www.chestjournal.org/content/124/1/376.full
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Diaphragmatic plication is intended to decrease lung compression, to make the thoracic base and mediastinum more stable, and to strengthen the respiratory action of intercostal, perithoracic, and abdominal muscles: 13 infants and children were operated upon, 7 in acute respiratory failure and ventilator-dependent,
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ejcts.ctsnetjournals.org/cgi/content/abstract/6/7/357
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Objectives: To examine whether diaphragmatic plication is an effective and lasting treatment option for non-malignant diaphragmatic paralysis. Methods: Nineteen patients who had undergone diaphragm plication (1983–1990) were recalled for interview, pulmonary function testing and chest X-ray.
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ejcts.ctsnetjournals.org/cgi/content/abstract/21/2/294
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Background: A study was undertaken to evaluate whether adults differ from children in the indications and outcome of diaphragmatic plication following ...
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www.ncbi.nlm.nih.gov/pmc/articles/PMC1746380/
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OBJECTIVE: We investigated the benefit of diaphragmatic plication for weaning from mechanical ventilation in these adult patients. ... Right diaphragmatic plication (muscle sparing procedure) was performed between 30 to 61 days after cardiac surgery. RESULTS: The mean forced tidal volume improved dramatically from 216 to 415...
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www.medscape.com/medline/abstract/15312011
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Bilateral diaphragmatic plication was performed on the 43rd postoperative day. She successfully weaned from ventilator support without difficulty a few days after plication. We believe that surgical plication of the diaphragm is a safe and effective technique for a distressed adult patient with paralyzed diaphragm.
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www.medscape.com/medline/abstract/1960437
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