Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 307-310, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-128349
ABSTRACT
BACKGROUND:
To evaluate our experience of early surgical plication for diaphragmatic eventration (DE) in infancy and childhood.METHODS:
This study evaluated infants and children with symptomatic DE who underwent plication through an open transthoracic approach in our childhood development department between January 2005 and December 2012. Surgical plication was performed in several rows using polypropylene U-stitches with Teflon pledgets.RESULTS:
The study included 12 infants and children (7 boys and 5 girls) with symptomatic DE (9 congenital and 3 acquired). Reported symptoms included respiratory distress (91.7%), wheezing (75%), cough (66.7%), and recurrent pneumonia (50%). Preoperative mechanical ventilatory support was required in 41.7% of the patients. The mean length of hospital stay was 6.3+/-2.5 days. The mean follow-up period was 24.3+/-14.5 months. Preoperative symptoms were immediately relieved after surgery in 83.3% of patients and persisted in 16.7% of patients one year after surgery. All patients survived to the end of the two-year follow-up and none had recurrence of DE.CONCLUSION:
Early diagnosis and surgical plication of the diaphragm for symptomatic congenital or acquired diaphragmatic eventration offers a good clinical outcome with no recurrence.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumonía
/
Polipropilenos
/
Politetrafluoroetileno
/
Recurrencia
/
Diafragma
/
Toracotomía
/
Ruidos Respiratorios
/
Estudios de Seguimiento
/
Tos
/
Diagnóstico Precoz
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
/
Estudio de tamizaje
Límite:
Niño
/
Humanos
/
Lactante
Idioma:
Inglés
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
2015
Tipo del documento:
Artículo
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