کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4282572 1611747 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Is surgical plication necessary in diaphragm eventration?
ترجمه فارسی عنوان
آیا قرار دادن جراحی در دیافراگم ضروری است؟
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

SummaryBackgroundDiaphragm plication surgery is conducted to remove dyspnea, which results from mediastinal shift, atelectasia, and ventilation/perfusion dyssynchrony in lungs that occur because of an eventrated diaphragm. This study aims to determine whether diaphragm plication has any effect on respiration by analyzing the patients' changing values in the respiratory function test (RFT) after plication surgery.MethodsSixteen patients who underwent diaphragm plication surgery in our clinic because of plication eventration or paralysis were examined prospectively. Diaphragm eventration values were assessed using a calculation method that uses posteroanterior pulmonary radiographies taken during patient admission and control; then, these data were recorded. The amount of changes in the eventration levels and in restrictive respiratory failure parameters—forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC) of RFTs—conducted in pre- and postoperative control periods were compared using statistical analysis methods. The compatibility between the amounts of RFT changes was examined through a satisfaction survey—using a questionnaire that consisted of multiple choice questions with answer options such as “better,” “the same,” and “worse”—to understand preoperative and postoperative symptom levels in the 12th month of postoperative control.ResultsAccording to postoperative levels, a decrease between 19% and 23% was observed in eventration amounts within the 1st postoperative month, 6th postoperative month, and 12th postoperative month. In addition, the highest average increase in FEV1 liter (lt) values was 0.2 lt and 0.25 in FVC (lt) values.ConclusionResearchers of this study believe that more distinctive decisions need to be taken while identifying patients for surgery in unilateral diaphragm eventrations, especially in the adult patient group; surgical option should be used for cases in which the eventrated diaphragm results in mediastinal shift and respiratory failure.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Asian Journal of Surgery - Volume 39, Issue 2, April 2016, Pages 59–65
نویسندگان
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