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  • Title: Results of diaphragmatic plication for unilateral diaphragmatic paralysis.
    Author: Wright CD, Williams JG, Ogilvie CM, Donnelly RJ.
    Journal: J Thorac Cardiovasc Surg; 1985 Aug; 90(2):195-8. PubMed ID: 3927067.
    Abstract:
    Seven adult patients with dyspnea resulting from nonmalignant unilateral diaphragmatic paralysis underwent plication of the affected hemidiaphragm. Preoperatively, the patients complained of exertional dyspnea and orthopnea and had a reduced arterial oxygen tension, total lung capacity, vital capacity, expiratory reserve volume, and functional residual capacity. Plication was performed by imbricating the diaphragm in layers through a thoracotomy. After plication there was a significant increase in arterial oxygen tension and all lung volumes except residual volume. The patients' symptoms were improved with plication and a significant decrease was recorded in breathlessness on a visual analogue scale. There were no postoperative complications and mean hospital stay was 12 days.
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