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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Surgical treatment by diaphragm plication has been described since 1985 in small series for unilateral paralysis and bilateral paralysis (Table 1). Some of these studies only or mainly concern patients after cardiac surgery with problems at weaning from ventilation.
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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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Unilateral phrenic nerve paralysis after cardiothoracic surgery is not uncommon. ... Plication of the diaphragm through a thoracotomy is known to provide excellent long-term results. Plication is now being performed via video-assisted thoracoscopic surgery (VATS).
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www.medscape.com/medline/abstract/14973726?src=emed_ckb...
www.medscape.com/medline/abstract/14973726?src=emed_ckb_ref_0
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METHODS: Between December 1996 and January 2006, 22 consecutive patients underwent diaphragm plication. Before surgery, spirometry in both seated and supine positions and a Baseline Dyspnea Index were assessed. The uncut diaphragm was plicated as tight as possible through a limited lateral thoracotomy.
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www.medscape.com/medline/abstract/17658265
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The respiratory system functions as a vital pump that moves air in and out of the lung gas-exchange units. The respirato ... however, consider diaphragm plication in patients with dyspnea that is disproportionate to the degree of physical activity or severity of lung disease.
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www.emedicine.com/med/topic554.htm
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Plication is an established intervention for this group of patients, but minimally invasive diaphragm plication has not been well described.
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meeting.chestjournal.org/cgi/content/abstract/128/4/190...
meeting.chestjournal.org/cgi/content/abstract/128/4/190S
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BACKGROUND: Plication of the hemidiaphragm for unilateral diaphragm paralysis is infrequently performed in adults. Barriers to diaphragm plication have included the perceived need for thoracotomy and uncertainty of the potential benefits.
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ats.ctsnetjournals.org/cgi/content/abstract/81/5/1853
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Diaphragm plication was performed endoscopically and the patient recovered. Refinement of technique and instrumentation may allow wider application of video-assisted thoracoscopic plication of the diaphragm in neonatal and pediatric patients.
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ats.ctsnetjournals.org/cgi/content/abstract/65/3/842
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Keywords: phrenic nerve paralysis; diaphragm plication; children; pulmonary function tests ... Wijkstra, P J, Meijer, P M, Meinesz, A F (2003). Diaphragm plication following phrenic nerve injury. Thorax 58: 460-460 [Full Text]
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thorax.bmj.com/cgi/content/abstract/57/7/613
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