Vats Plication Of The Diaphragm: A Triportal Procedure Of Convenience
Khalid Amer, FRCS(C Th).
Southampton General Hospital, Southampton, United Kingdom.
OBJECTIVE: Patients with symptomatic diaphragm paralysis are being denied a simple minimal access safe procedure that can transform their lives. We set out to describe our technique of Triportal VATS plication of the diaphragm, in single and simultaneous bilateral procedures
METHODS: Practical steps in detail of how to perform VATS Diaphragmatic plication. we go over the caveats and alternatives
RESULTS: VATS Plication of the diaphragm in selected cases is safe and feasible. Hospital stay is usually short (1-2 days) but severely symptomatic patients might require prophylactic admission to the Intensive Care.
CONCLUSIONS: Even in severely symptomatic patients with very little lung capacity reserve, paralysis of the diaphragm could be improved by VATS plication. Subjective results are impressive and sometimes life changing.
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