title: Video-Assisted Minithoracotomy Diaphragmatic Plication: Respiratory Effects in Adults.
abstract: ObjectivesThe objective of this study was to analyze the clinical respiratory and spirometric effects of video-assisted minithoracotomy diaphragmatic plication (VAM-T DP) in the treatment of diaphragmatic eventration.MethodsA retrospective longitudinal study of 18 patients who underwent a VAM-T DP in our service between February 2005 and July 2011 was performed. Data of patient characteristics, preoperative clinical variables, and postoperative results (3, 6, and 12 months) were collected for statistical analysis using the software package SPSS 13.0 for Windows (Wilcoxon test, Friedman test, andZ-test).ResultsThe main clinical respiratory and spirometric variables improved significantly and remained stable over 1 year.ConclusionsVAM-T DP is a viable and safe procedure that improves the spirometry values and offers stable results during the first year. To our knowledge, the present series is the second largest published report in English relating to this procedure in adults.
authors.affiliation: Department of Thoracic Surgery, C.H.U., Albacete, Spain.
authors.forename: Carlos
authors.initials: C
authors.lastname: Rombolá
authors.affiliation: Department of Thoracic Surgery, C.H.U., Albacete, Spain.
authors.forename: Marta Genovés
authors.initials: MG
authors.lastname: Crespo
authors.affiliation: Gerencia de Atención Integrada, Sescam, Albacete, Spain.
authors.forename: Pedro Tárraga
authors.initials: PT
authors.lastname: López
authors.affiliation: Department of Thoracic Surgery, C.H.U., Albacete, Spain.
authors.forename: Antonio Honguero
authors.initials: AH
authors.lastname: Martínez
authors.affiliation: Department of Thoracic Surgery, C.H.U., Albacete, Spain.
authors.forename: Pablo León
authors.initials: PL
authors.lastname: Atance
authors.affiliation: Department of Thoracic Surgery, C.H.U., Albacete, Spain.
authors.forename: Ana Triviño
authors.initials: AT
authors.lastname: Ramírez
authors.affiliation: Departamento de Cirugía General y Digestiva, Hospital Universitario La Paz, Madrid, Spain.
authors.forename: José Antonio Rodríguez
authors.initials: JA
authors.lastname: Montes
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003964:Diaphragm / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000294:innervation / Q000601:surgery*; D003965:Diaphragmatic Eventration / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012119:Respiration; D012120:Respiration Disorders / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012133:Respiratory Paralysis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D013030:Spain; D013147:Spirometry; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome