Thoracoscopic Radial Diaphragm Plication.

Diaphragm / innervation Humans Phrenic Nerve / surgery Quality of Life Respiratory Paralysis / etiology Sutures

Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
09 2022
Historique:
received: 06 07 2021
revised: 12 11 2021
accepted: 14 11 2021
pubmed: 25 12 2021
medline: 1 9 2022
entrez: 24 12 2021
Statut: ppublish

Résumé

In appropriately selected patients diaphragm plication improves quality of life by alleviating dyspnea and allowing patients to return to their routine activities. Many plication techniques exist, but the optimal surgical approach remains unclear. We report our experience with a minimally invasive radial diaphragm plication technique. It offers 2 distinct advantages: (1) suture placement avoids the phrenic nerve fibers, allowing for potential nerve recovery, and (2) the interrupted radial sutures improve the distribution of tension along the flaccid muscle and may achieve a more durable repair.

Identifiants

DOI: 10.1016/j.athoracsur.2021.11.037 PMID: 34951968
pubmed: 34951968
pii: S0003-4975(21)02121-4
doi: 10.1016/j.athoracsur.2021.11.037
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e227-e230

Informations de copyright

Copyright © 2022 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Desiree Steimer (D)

Division of Thoracic Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts. Electronic address: dsteimer@bwh.harvard.edu.

Mia DeBarros (M)

Division of Thoracic Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

M Blair Marshall (MB)

Division of Thoracic Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

Michael Jaklitsch (M)

Division of Thoracic Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

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Classifications MeSH

questionsmedicales.fr › Appareil locomoteur › Muscles respiratoires › Muscle diaphragme › Thoracoscopic Radial Diaphragm Plication.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Thoracoscopic Radial Diaphragm Plication.
questionsmedicales.fr › Système nerveux › Système nerveux périphérique › Nerfs périphériques › Nerfs spinaux › Plexus cervical › Nerf phrénique › Thoracoscopic Radial Diaphragm Plication.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › Thoracoscopic Radial Diaphragm Plication.
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Paralysie › Paralysie des muscles respiratoires › Thoracoscopic Radial Diaphragm Plication.
questionsmedicales.fr › Équipement et fournitures › Équipement chirurgical › Matériels de fixation chirurgicale › Matériaux de suture › Thoracoscopic Radial Diaphragm Plication.