Diaphragmatic Plication in Unilateral Diaphragmatic Paralysis or Evantration in Adults

Fahri OĞUZKAYA, Mehmet BİLGİN, Yiğit AKÇALI, Cemal KAHRAMAN, Atalay ŞAHiN

Erciyes Üniversitesi Tıp Fakültesi Göğüs ve Kalp Damar Cerrahisi Anabilim Dalı

Diaphragmatic evantration or paralysis in adults is associated with respiratory distress. In our clinic during the last decate we treated 8 female and 2 male patients with the mean age of 41.8 years. Tha etiologic causes were definite in 4 cases. Dispne was seen in all the cases and values of pulmonary function test decrease in VC test PO2 in arterial blood were observed.

Diagnosis was radiologically made. The cases were undenwent to plication transthoracally. The mean hospital stay was 6.4 days. Relief in symptoms and increase in values VC and PO2 were seen postoperatively in the third month.

Plication is taken as on effective and necessary method in symtomatic patients in order to restore diaphragmatic position.

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