Laparoscopic diaphragmatic plication: long-term results of a novel surgical technique for postoperative phrenic nerve palsy

Abstract

Laparoscopic diaphragmatic plication provides excellent relief of symptoms caused by diaphragmatic paralysis. There is no perioperative morbidity, and hospital stay is short. The laparoscopic approach, therefore, is an attractive surgical alternative for the treatment of phrenic nerve palsy and should be considered in all suitable patients.

Diaphragmatic Pacemaker

“…The patients should meet the indication for implantation. Furthermore, the patients should have severe, chronic respiratory insufficiency requiring mechanical ventilation or respiratory insufficiency for more than three months [17,[28][29][30]. They should have respiratory insufficiency for more than three months after the onset of injury and viable motor neurons (exception cases of those in ALS and Poliomyelitis as mentioned earlier).…”

Eventration of Diaphragm Presenting As Recurrent Respiratory Tract Infections- A Case Report

“…Recently, diaphragmmatic plication has also been performed through minimally invasive techniques, either laparoscopic [11] or thoracoscopic [5,[12][13][14]. Most of the published papers on the use of this technique concern case reports or small series, except one that was published by Freeman et al [5] which reports on 22 patients.…”

Diaphragm plication in adult patients with diaphragm paralysis leads to long-term improvement of pulmonary function and level of dyspnea

“…Until 2006 only a few reports with very limited numbers of patients have been published using a laparoscopic or thoracoscopic technique for surgical plication [21]. Freeman et al were the first to describe a patient group of substantial size treated with this technique [17].…”

“…Surgical treatment of diaphragm paralysis by plication has been described since 1985 in small series for unilateral paralysis [13][14][15][16][17]20,21] and in three patients with bilateral paralysis [18]. Some studies only or mainly concern patients after cardiac surgery with problems at weaning from ventilation [16,22].…”