Background and objective: Diaphragm is not an uncommon problem. is the most presenting in most of the cases. In this study, we used diaphragm (DUS) and to evaluate the outcome of post-surgical diaphragmatic plication (SDP) in adults with unilateral diaphragmatic paralysis (UDP). To our knowledge, no large reports about the efficacy of and the utilization of DUS for these patients were done.
Methods: A retrospective analysis of all patients who underwent SDP at two (2014 - 2018) was done. Data of all patients were patients' characteristics, preoperative (chest X-ray, chest computed tomography, DUS, and ) , two years postoperative follow up.
Results: Among 47 (UDP) patients. 40 patients underwent SDP. 30 (75%) males (mean age 45±14 years). Left-sided SDP was found in 57% of cases (n=23). Most of the patients were suffering from Dyspnea (n=38). Minor complications occurred in 12% (n=5). Excellent results in 90% (n=36), good results in 7,5% and unsatisfactory in one patient (2,5%). Patients up at one month and 6 months and two years showed a significant increase in FEV1 up to 20% (range 15-40%), P=0.011 and FVC up to 30% (range 10%45%) P=0.024. There was a significant postoperative improvement in (P<0.005). There was a significant correlation between postoperative FEV1 and the height of the copula on CXR and DUS (P<0.001 and P<0.005 respectively).
Conclusion: SDP is an effective and safe procedure which can be performed to treat UDP in adult patients suffering from chronic . is a significant improvement in the patient’s functional is correlated to the assessment. Keywords: Diaphragm Diaphragmatic Eventration Diaphragmatic Eventration/surgery diaphragm/ultrasonography, fluoroscopy, Recovery of Function Thoracic Surgical Procedures/methods