title: Best Approach and Benefit of Plication for Paralyzed Diaphragm.
abstract: Diaphragmatic eventration and diaphragmatic paralysis are 2 entities with different etiology and pathology, and are often clinically indistinguishable. When symptomatic, their treatment is the same, with the objective to reduce the dysfunctional cephalad excursion of the diaphragm during inspiration. This can be achieved with diaphragmatic plication through the thorax or the abdomen with either open or minimally invasive techniques. We prefer the laparoscopic approach, due to its easy access to the diaphragm and to avoid pain associated with intercostal incisions and instrument use. Short-term and long-term results are excellent with this technique.
authors.affiliation: Section of Thoracic and Foregut Surgery, Division of Cardiothoracic Surgery, University of Minnesota, 420 Delaware Street Southeast, MMC 207, Minneapolis, MN 55455, USA. Electronic address: eitanp@umn.edu.
authors.forename: Eitan
authors.initials: E
authors.lastname: Podgaetz
authors.affiliation: Section of Thoracic and Foregut Surgery, Division of Cardiothoracic Surgery, University of Minnesota, 420 Delaware Street Southeast, MMC 207, Minneapolis, MN 55455, USA.
authors.forename: Rafael
authors.initials: R
authors.lastname: Garza-Castillon
authors.affiliation: Section of Thoracic and Foregut Surgery, Division of Cardiothoracic Surgery, University of Minnesota, 420 Delaware Street Southeast, MMC 207, Minneapolis, MN 55455, USA.
authors.forename: Rafael S
authors.initials: RS
authors.lastname: Andrade
mesh_terms: D003964:Diaphragm / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D012133:Respiratory Paralysis / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods*
keywords: Diaphragm plication; Eventration; Laparoscopy; Paralysis; Thoracoscopy