Surgery of Eventration of the Diaphragm
DOI:
https://doi.org/10.32007/jfacmedbagdad.6321849Keywords:
Key words: Diaphragm. Eventration. Plication. Surgical repair. Phrenic nerve injuryAbstract
AbstractBackground: Eventration of diaphragm is an abnormal elevation of the diaphragm. Publishing on eventration of diaphragm in Iraq is scarce.
Objective: This study was carried out to report on the Iraqi experience on eventration of diaphragm.
Methods: A total of 18 patients with eventration diaphragm were included in this study. A review of case records of patients with eventration diaphragm treated in Ibn Al-Nafees Teaching Hospital was done. Review of records took place for the period of March 2012 to Dec. 2017.
Results: The age of patients was ranged 5 months to 70 years, giving male to female ratio of 2:1. Dyspnea was dominating presenting symptoms followed by cough. The left hemidiaphragm was the most affected site (83.3%). The cause of eventration of diaphragm was idiopathic in 72.2% of patients. Chest X ray showed the elevation of the affected hemidiaphragm. CT scan demonstrated the thinned-out raised hemidiaphragm. The most common complications were atelectasis, and recurrent chest infection. Hospital stay was ranging 4-14 days.
Conclusion: Eventration of diaphragm is not uncommon in Iraq. Presentation, management, and complication are similar to that reported in global centers.
Key words:
Diaphragm. Eventration. Plication. Surgical repair. Phrenic nerve injury
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