Results of Open Transthoracic Plication of Diaphragm on the Respiratory, GI and Cardiovascular Systems, and Improvement of Life Quality

Aghajanzadeh M1 , Lahbari AA2 , Hemmati H3 , Ashoob MT2 , Tangestaninejad A4 , Fomani AA4 , Ashoobi MT2* and Jafarnegad A4

Department of Thoracic and General Surgery, Guilan University of Medical Sciences, Iran 2 Department of Vascular and General Surgery, Guilan University of Medical Sciences, Iran 3 Department of Pulmonology, Guilan University of Medical Sciences, Iran

^*Correspondance to: Mohammad Taghi Ashoobi 

 PDF  Full Text DOI: 10.25107/2474-1647.3133

Abstract

Objective: In this study, we carried out experiments on 30 patients, who had unilateral nonmalignant diaphragmatic eventuation while focusing on their symptomatic status, especially degree of dyspnea, the pulmonary function, heart, GI-system, and their quality of life in a long-time followup. Materials: From April 2004 to February 2018, we retrospectively investigated medical records of 30 patients (18 males and 12 females) which underwent surgical treatment with DE. The clinical data of the patients were collected. Furthermore, 16 patients (65%) were classified in idiopathic DE, eight patients in Trauma, and four patients in cardiac and mediastinal surgery. The two remaining patients had congenital origin. Results: Out of thirty patients with DE, 18 patients were males and 12 were females. Mean age of the patients was 46 years (range: 18 to 64 years). Dyspnea was the most common complaint in 75% of patients. DE was idiopathic in sixteen of patients, trauma was the cause in eight patients, mediastina surgery in four, and two patients had a congenital cause. Almost 21 patients experienced a feeling of tightness and light pain in the lower chest/upper abdominal a few days postoperative, which subsided with analgesics and carminative the follow-up was completed an average length of 36 to 62 months. Twenty-six patients were asymptomatic. There were four patients with chronic pain and another three patients with paresthesia in the thoracotomy area. Conclusion: In summary, we inferred that Plication of diaphragm is a safe and effective procedure for respiratory, gastrointestinal, cardio-vascular systems, and significant improvement of life quality. We also concluded that pulmonary function tests (FEV1 and FVC) could increase post-opera

Keywords

Diaphragm; Eventration; Plication; Thoracotomy

Cite the article

Aghajanzadeh M, Lahbari AA, Hemmati H, Ashoob MT, Tangestaninejad A, Fomani AA, et al. Results of Open Transthoracic Plication of Diaphragm on the Respiratory, GI and Cardiovascular Systems, and Improvement of Life Quality. Clin Surg. 2021; 6: 3133..