Surgery of Eventration of the Diaphragm

mjl@ kly@ lTb Pub Date : 2021-01-01 DOI:10.32007/jfacmedbagdad.6321849

W. Hussen, A. Mohammed, Akeel Yuser

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Abstract

Abstract Background: 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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横膈膜外翻术

背景:横膈膜外翻是横膈膜的异常抬高。关于伊拉克横膈膜辐射的出版物很少。目的:报道伊拉克人在横膈膜拔除术中的经验。方法:对18例膈肌膨出患者进行研究。回顾了在Ibn Al-Nafees教学医院治疗的膈肌移位患者的病例记录。对2012年3月至2017年12月期间的记录进行了审查。结果:患者年龄5个月~ 70岁，男女比例2:1。呼吸困难是主要的症状，其次是咳嗽。左膈是最常见的部位(83.3%)。横膈膜外翻的原因为特发性，占72.2%。胸部X线显示受累的半膈升高。CT扫描显示半膈变薄升高。最常见的并发症是肺不张和复发性胸部感染。住院时间4 ~ 14天。结论:横膈膜外翻在伊拉克并不少见。表现、处理和并发症与全球中心的报告相似。关键词:隔膜;腹脏突出。皱纹。手术修复。膈神经损伤

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24 weeks