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- W1570694865 abstract "Introduction: Diaphragmatic eventration often causes progressive dyspnea on exertion or respiratory infection in small children, especially those under 2 years of age. Diaphragmatic plication by minimally invasive surgery is evaluated for quick recovery and has been performed on small children.Methods: Nine patients ranging in age from 1 to 33 months and in weight from 3 to 12 kg were treated by thoracoscopic diaphragmatic plication. Six of them needed preoperative support from a respirator or nasal directional positive airway pressure. Three patients had congenital heart disease with right-to-left shunt. The operations were performed with three ports. We put the optical port at the sixth intercostal space and had enough view with artificial pneumothorax at 4 mmHg using carbon dioxide. Single-lung ventilation was never used. The redundant diaphragm was pulled and plicated with non-absorbable 3-0 sutures.Results: The thoracoscopic approach was successful in all nine patients. No conversion was needed. All patients were recovered well postoperatively, except for one patient with a pneumothorax. The patients who needed respiratory support before the operation no longer required it within 8 d of surgery.Conclusion: In conclusion, we showed the feasibility of performing the thoracoscopic plication procedures on small infants. In our series, six out of nine patients were <6 kg and four of them were as young as 1 month old. We placed the optical port near the diaphragm, and this may have been a major factor in helping the surgery succeed. In conclusion, early thoracoscopic plication should be considered even for the small infants with diaphragmatic eventration." @default.
- W1570694865 created "2016-06-24" @default.
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- W1570694865 date "2010-08-12" @default.
- W1570694865 modified "2023-09-25" @default.
- W1570694865 title "Thoracoscopic diaphragmatic plication in small infants" @default.
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- W1570694865 doi "https://doi.org/10.1111/j.1758-5910.2010.00054.x" @default.
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