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Combination of diaphragmatic plication with major abdominal surgery in patients with phrenic nerve palsy.

Smyrniotis V, Arkadopoulos N, Kostopanagiotou G, Gamaletsos E, Pistioli L, Kostopanagiotou E

Second Department of Surgery, University of Athens Medical School, 22 Hanioti Street, 154 52 Athens, Greece. vsmyrniotis@hotmail.com

The role of simultaneous prophylactic diaphragmatic plication during major abdominal operations is evaluated. In five patients with a history of phrenic nerve injury, postoperative ventilation requirements and hospital stay were significantly reduced when synchronous diaphragmatic plication was performed, compared with corresponding values obtained during previous abdominal operation without diaphragmatic plication. In addition, diaphragmatic plication was associated with postoperative improvement of respiratory mechanics and blood gas exchange.

Published 27 January 2005 in Surgery, 137(2): 243-5.
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