Laparoscopic diaphragmatic plication for paralysis posterior to trauma. Case report

A case of stapled resection of redundant diaphragm and early evisceration of gastrointestinal content.

“…Surgical resection of the diaphragm, another intervention for repairing diaphragm paralysis, is revealed to clinically improve patients with unilateral diaphragm paralysis [6]. Several studies have indicated that diaphragm plication, using various techniques [3, 7–9], improves symptoms and respiratory function. A recent report on a patient with diaphragmatic paralysis, who underwent laparoscopic diaphragmatic plication using intermittent sutures, reported an improvement in the patient’s clinical status [3].…”

“…Several studies have indicated that diaphragm plication, using various techniques [3, 7–9], improves symptoms and respiratory function. A recent report on a patient with diaphragmatic paralysis, who underwent laparoscopic diaphragmatic plication using intermittent sutures, reported an improvement in the patient’s clinical status [3]. A case series of three patients with hemidiaphragm paralysis, who were treated with laparoscopic plication using robotic assistance, reported the clinical improvement of the patients.…”

“…Unilateral diaphragmatic paralysis can be seen during head, neck, and cardiovascular operations due to phrenic nerve injury [2]. Thoracoabdominal trauma, sub-phrenic abscesses, atelectasis, and pleural infection are considered to be the causes of diaphragm paralysis when the phrenic nerve is not involved [3]. Unilateral diaphragmatic paralysis patients usually have no symptoms [1], but they may experience dyspnea on exertion [4].…”