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Alshorbagy A, Mubarak Y. Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children. Korean J Thorac Cardiovasc Surg. 2015;48(5):307-10doi: 10.5090/kjtcs.2015.48.5.307.
Alshorbagy, A., & Mubarak, Y. (2015). Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children. The Korean journal of thoracic and cardiovascular surgery, 48(5), 307-10. https://doi.org/10.5090/kjtcs.2015.48.5.307
Alshorbagy, Ashraf, and Mubarak, Yasser. "Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children." The Korean journal of thoracic and cardiovascular surgery vol. 48,5 (2015): 307-10. doi: https://doi.org/10.5090/kjtcs.2015.48.5.307
Alshorbagy A, Mubarak Y. Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children. Korean J Thorac Cardiovasc Surg. 2015 Oct;48(5):307-10. doi: 10.5090/kjtcs.2015.48.5.307. Epub 2015 Oct 05. PMID: 26509123; PMCID: PMC4622030.
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Korean J Thorac Cardiovasc Surg. 2015 Oct;48(5):307-10. doi: 10.5090/kjtcs.2015.48.5.307. Epub 2015 Oct 05.

Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children.

The Korean journal of thoracic and cardiovascular surgery

Ashraf Alshorbagy, Yasser Mubarak

Affiliations

  1. Cardiothoracic Surgery Department, Minia University Hospital.

PMID: 26509123 PMCID: PMC4622030 DOI: 10.5090/kjtcs.2015.48.5.307

Abstract

BACKGROUND: To evaluate our experience of early surgical plication for diaphragmatic eventration (DE) in infancy and childhood.

METHODS: This study evaluated infants and children with symptomatic DE who underwent plication through an open transthoracic approach in our childhood development department between January 2005 and December 2012. Surgical plication was performed in several rows using polypropylene U-stitches with Teflon pledgets.

RESULTS: The study included 12 infants and children (7 boys and 5 girls) with symptomatic DE (9 congenital and 3 acquired). Reported symptoms included respiratory distress (91.7%), wheezing (75%), cough (66.7%), and recurrent pneumonia (50%). Preoperative mechanical ventilatory support was required in 41.7% of the patients. The mean length of hospital stay was 6.3±2.5 days. The mean follow-up period was 24.3±14.5 months. Preoperative symptoms were immediately relieved after surgery in 83.3% of patients and persisted in 16.7% of patients one year after surgery. All patients survived to the end of the two-year follow-up and none had recurrence of DE.

CONCLUSION: Early diagnosis and surgical plication of the diaphragm for symptomatic congenital or acquired diaphragmatic eventration offers a good clinical outcome with no recurrence.

Keywords: Diaphragm; Eventration; Plication; Thoracotomy

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