Surgical treatment of diaphragmatic eventration in adults.

D. F. Sung, B. S. Huang, M. S. Huang, L. S. Wang, M. H. Huang, K. Y. Chien

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Abstract

Surgical intervention of diaphragmatic eventration is urgent and life-saving in infants but is rarely in adults. In the past 22 years, Seven adults with diaphragmatic eventration were encountered at the Division of thoracic surgery, Dept. of surgery, VGH, Taipei. The age on diagnosis ranged from 32 to 65 years with mean of 44 years old. Male and left diaphragm were more frequently affected (6 men, 1 woman; 6 left, 1 right). All of them received operation of plication. In spite of good immediate postoperative return of the diaphragms to normal position with clinical improvement found in all patients, 5 dyspneic patients were found to have gradual diaphragmatic rise or relapse of respiratory symptoms after repair. Diaphragmatic eventration could cause compression of lung by abdominal organs and reinforcement of diaphragm through plication might increase the diaphragm strength and diminish the clinical symptoms. Yet according to our series, we recommend surgical intervention is only for existence of distress stemmed from it and unresponsive to medical therapy.

Original languageEnglish
Pages (from-to)297-301
Number of pages5
JournalChinese Medical Journal (Taipei)
Volume50
Issue number4
Publication statusPublished - Oct 1992
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sung, D. F., Huang, B. S., Huang, M. S., Wang, L. S., Huang, M. H., & Chien, K. Y. (1992). Surgical treatment of diaphragmatic eventration in adults. Chinese Medical Journal (Taipei), 50(4), 297-301.