Best Approach and Benefit of Plication for Paralyzed Diaphragm

Eitan Podgaetz, Rafael Garza-Castillon, Rafael S. Andrade

Research output: Contribution to journalReview articlepeer-review

15 Scopus citations


Diaphragmatic eventration and diaphragmatic paralysis are 2 entities with different etiology and pathology, and are often clinically indistinguishable. When symptomatic, their treatment is the same, with the objective to reduce the dysfunctional cephalad excursion of the diaphragm during inspiration. This can be achieved with diaphragmatic plication through the thorax or the abdomen with either open or minimally invasive techniques. We prefer the laparoscopic approach, due to its easy access to the diaphragm and to avoid pain associated with intercostal incisions and instrument use. Short-term and long-term results are excellent with this technique.

Original languageEnglish (US)
Pages (from-to)333-346
Number of pages14
JournalThoracic surgery clinics
Issue number3
StatePublished - Aug 1 2016


  • Diaphragm plication
  • Eventration
  • Laparoscopy
  • Paralysis
  • Thoracoscopy


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