title: Is video-assisted thoracoscopic diaphragmatic plication a widespread technique for diaphragmatic hernia in adults? Review of the literature and results of a national survey.
abstract: Diaphragmatic plication is the most accepted treatment for symptomatic diaphragmatic hernia in adults. The fact that this pathology is infrequent and this procedure not been widespread means that this is an exceptional technique in our field. To estimate its use in the literature, we carried out a review in English and Spanish, to which we added our series. We found only six series that contribute 59 video-assisted mini-thoractomy for diaphragmatic plications in adults, and none in Spanish. Our series will be the second largest with 18 cases. Finally, we conducted a survey in all the Spanish Thoracic Surgery units in Spain: none reported more than 10 cases operated by thoracoscopy in the last 8 years (except our series) and most continue employing thoracotomy as the main approach. We believe that many patients with symptomatic diaphragmatic hernia could benefit from the use of such techniques.
authors.affiliation: Servicio de Cirugía Torácica, Complejo Hospitalario Universitario de Albacete, Albacete, España. Electronic address: carrombola@hotmail.com.
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Rombolá
authors.affiliation: Servicio de Cirugía Torácica, Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: Marta
authors.initials: M
authors.lastname: Genovés Crespo
authors.affiliation: Gerencia de Atención Integrada, Sescam, Albacete, España.
authors.forename: Pedro J
authors.initials: PJ
authors.lastname: Tárraga López
authors.affiliation: Servicio de Cirugía Torácica, Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: María Dolores
authors.initials: MD
authors.lastname: García Jiménez
authors.affiliation: Servicio de Cirugía Torácica, Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: Antonio F
authors.initials: AF
authors.lastname: Honguero Martínez
authors.affiliation: Servicio de Cirugía Torácica, Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: Pablo
authors.initials: P
authors.lastname: León Atance
authors.affiliation: Servicio de Cirugía Torácica, Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: Claudia R
authors.initials: CR
authors.lastname: Rodríguez Ortega
authors.affiliation: Servicio de Cirugía Torácica, Complejo Hospitalario Universitario de Albacete, Albacete, España.
authors.forename: Ana
authors.initials: A
authors.lastname: Triviño Ramírez
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario La Paz, Madrid, España.
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Rodríguez Montes
mesh_terms: D000328:Adult; D003964:Diaphragm / Q000601:surgery*; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006801:Humans; D013030:Spain; D011795:Surveys and Questionnaires; D020775:Thoracic Surgery, Video-Assisted
keywords: Cirugía del diafragma; Diafragma; Diaphragm; Diaphragm surgery; Diaphragmatic hernia; Diaphragmatic plicat; Hernia diafragmática; Parálisis respiratoria; Plicatura diafragmática; Respiratory paralysis