Diaphragmatic Eventration

  • Francesco Molinaro
  • Anna Lavinia Bulotta
  • Elisa Cerchia
  • Francesca Borruto
  • Mario Messina
  • François Becmeur
Chapter

Abstract

In general, diaphragmatic eventration (DE) is defined as abnormal elevation of all (or a portion of) an attenuated (but otherwise intact) diaphragmatic leaf [1]. The term “eventration” was used first by Becklard in 1829 (through Petit probably described the condition in 1970). Bingham described plication of the diaphragm in 1954 [2, 3]. Based on etiopathogenesis, DE may be classified as “congenital” or “acquired” even though the clinical features and principles of management are similar for both forms.

Keywords

Congenital Diaphragmatic Hernia Phrenic Nerve Congenital Diaphragmatic Hernia Pulmonary Hypoplasia Shoulder Dystocia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. 1.
    Yazici M, Karaca I, Arikan A et al (2003) Congenital eventration of the diaphragm in children: 25 years’ experience in three pediatric surgery centers. Eur J Pediatr Surg 13:298–301Google Scholar
  2. 2.
    Bisgard J (1947) Congenital eventration of the diaphragm. J Thorac Surg 16:484–491PubMedGoogle Scholar
  3. 3.
    Bingham JAW (1954) Two cases of unilateral paralysis of the diaphragm in the newborn treated surgically. Thorax 9:248–252PubMedCrossRefGoogle Scholar
  4. 4.
    Tsugawa C, Kimura K, Nishijima E et al (1997) Diaphragmatic eventration in infants and children: is conservative treatment justified? J Pediatr Surg 32:1643–1644Google Scholar
  5. 5.
    Groth SS, Andrade RS (2009) Diaphragmatic eventration. Thorac Surg Clin 19:511–519PubMedCrossRefGoogle Scholar
  6. 6.
    Foad SL, Mehlman CT, Ying J (2008) The epidemiology of neonatal brachial plexus palsy in the United States. J Bone Joint Surg 90:1258–1264PubMedCrossRefGoogle Scholar
  7. 7.
    Adler JB, Patterson RL Jr (1967) Erb’s palsy. Longterm results of treatment in eighty-eight cases. J Bone Joint Surg 49:1052–1064PubMedGoogle Scholar
  8. 8.
    Gurewitsch ED, Johnson E, Hamzehzadeh S, Allen RH (2006) Risk factors for brachial plexus injury with and without shoulder dystocia. Am J Obstet Gynecol 194:486–492PubMedCrossRefGoogle Scholar
  9. 9.
    Nath RK, Kumar N, Avila MB et al (2012) Risk factors at birth for permanent obstetric brachial plexus injury and associated osseous deformities. ISRN Pediatr 2012:307039Google Scholar
  10. 10.
    Crabbe DCG. Diaphragmatic eventration and phrenic palsy. In: Parikh DH, Crabbe DCG, Auldist AW, Rothenberg SS (eds) Pediatric thoracic surgery. Springer, Berlin, p 501–508Google Scholar
  11. 11.
    Joho-Arreola AL, Bauersfeld U, Stauffer UG, Baenziger O, Bernet V (2005) Incidence and treatment of diaphragmatic paralysis after cardiac surgery in children. Eur J Cardiothorac Surg 27:53–57PubMedCrossRefGoogle Scholar
  12. 12.
    Lemmer J, Stiller B, Heise G et al (2006) Postoperative phrenic nerve palsy: early clinical implications and management. Inten Care Med 32:1227–1233Google Scholar
  13. 13.
    Porth SC (2004) Recognition and management of respiratory dysfunction in children with tetraplegia. J Spinal Cord Med 27:S75–S79PubMedGoogle Scholar
  14. 14.
    Puri P, Nakazawa N (2009) Congenital diaphragmatic hernia. In: Puri P, Höllwarth M (eds) Pediatric surgery: diagnosis and management. Springer, Berlin p 306–313CrossRefGoogle Scholar
  15. 15.
    Huttl TP, Wichmann MW, Reichart B et al (2004) Laparoscopic diaphragmatic plication: long-term results of a surgical technique for postoperative phrenic nerve palsy. Surg Endosc 18:547–551Google Scholar
  16. 16.
    Alexander C (1966) Diaphragm movements and the diagnosis of diaphragm paralysis. Clin Radiol 17:79–83PubMedCrossRefGoogle Scholar
  17. 17.
    Cohn DB, Benditt JO, Eveloff SE, McCool FD (1997) Diaphragm thickening during inspiration. J Appl Physiol 83:291–296PubMedGoogle Scholar
  18. 18.
    Rehan VK, Nakashima JM, Gutman A, Rubin LP, Mc-Cool FD (2000) Effects of the supine and prone position on diaphragm thickness in healthy term infants. Arch Dis Child 83:234–238PubMedCrossRefGoogle Scholar
  19. 19.
    De Palo VA, McCool FD (2002) Respiratory muscle evaluation of the patient with neuromuscular disease. Semin Respir Crit Care Med 23:201–209CrossRefGoogle Scholar
  20. 20.
    Puri P (2006) Congenital diaphragmatic hernia and eventration. In: Puri P, Höllwarth M (eds) Pediatric surgery. Springer, Berlin, p 115–138CrossRefGoogle Scholar
  21. 21.
    Wayne ER, Campbell JB, Burrington JD, Davis WS (1974) Eventration of the diaphragm. J Pediatr Surg 9:643–651PubMedCrossRefGoogle Scholar
  22. 22.
    Shoemaker R, Palmer G, Brown JW, King H (1981) Aggressive treatment of acquired phrenic nerve paralysis in infants and small children. Ann Thorac Surg 32:250–259PubMedCrossRefGoogle Scholar
  23. 23.
    Watanabe T, Trusler GA, Williams WG et al (1987) Phrenic nerve paralysis after pediatric cardiac surgery. Retrospective study of 125 cases. J Thorac Cardiovasc Surg 94:383–388Google Scholar
  24. 24.
    Affatato A, Villagra F, De Leon JP (1988) Phrenic nerve paralysis following pediatric cardiac surgery. Role of diaphragmatic plication. J Cardiovasc Surg (Torino) 29:606–609Google Scholar
  25. 25.
    Langer JC, Filler RM, Coles J, Edmonds JF (1988) Plication of the diaphragm for infants and young children with phrenic nerve palsy. J Pediatr Surg 23:749–751PubMedCrossRefGoogle Scholar
  26. 26.
    Serraf A, Planche C, Lacour Gayet F et al (1990) Post cardiac surgery phrenic nerve palsy in pediatric patients. Eur J Cardiothorac Surg 4:421–424Google Scholar
  27. 27.
    Hamilton JR, Tocewicz K, Elliott MJ et al (1990) Paralysed diaphragm after cardiac surgery in children: value of plication. Eur J Cardiothorac Surg 4:487–490 (discussion 490-491)Google Scholar
  28. 28.
    Kunovsky P, Gibson GA, Pollock JC et al (1993) Management of postoperative paralysis of diaphragm in infants and children. Eur J Cardiothorac Surg 7:342–346Google Scholar
  29. 29.
    van Onna IE, Metz R, Jekel L (1998) Post cardiac surgery phrenic nerve palsy: value of plication and potential for recovery. Eur J Cardiothorac Surg 14:179–184PubMedCrossRefGoogle Scholar
  30. 30.
    de Leeuw M, Williams JM, Freedom RM (1999) Impact of diaphragmatic paralysis after cardiothoracic surgery in children. J Thorac Cardiovasc Surg 118:510–517PubMedCrossRefGoogle Scholar
  31. 31.
    Joho-Arreola AL, Bauersfeld U, Stauffer UG et al (2005) Incidence and treatment of diaphragmatic paralysis after cardiac surgery in children. Eur J Cardiothorac Surg 27:53–57Google Scholar
  32. 32.
    Akay TH, Ozkan S, Gultekin B et al (2006) Diaphragmatic paralysis after cardiac surgery in children: incidence, prognosis and surgical management. Pediatr Surg Int 22:341–346Google Scholar
  33. 33.
    Lemmer J, Stiller B, Heise G et al (2006) Postoperative phrenic nerve palsy: early clinical implications and management. Inten Care Med 32:1227–1233Google Scholar
  34. 34.
    Dagan O, Nimri R, Katz Y et al (2006) Bilateral diaphragm paralysis following cardiac surgery in children: 10-years’ experience. Inten Care Med 32:1222–1226Google Scholar
  35. 35.
    Becmeur F, Talon I, Schaarschmidt K et al (2005) Thoracoscopic diaphragmatic eventration repair in children: about 10 cases. J Pediatr Surg 40:1712–1715Google Scholar
  36. 36.
    Rothenberg S (2005) In: Najmaldin A, Rothenberg S, Crabbe D, Beasley S (eds) Operative endoscopy and endoscopic surgery in infants and children. Edward Arnold, London, p 23–29Google Scholar
  37. 37.
    Moon S-W, Wang W-P, Kim W-Y, Shim S-B, Jin W (2000) Thoracoscopic plication of diaphragm eventration using endostaplers. Ann Thorac Surg 70:299–300PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  • Francesco Molinaro
  • Anna Lavinia Bulotta
  • Elisa Cerchia
  • Francesca Borruto
  • Mario Messina
  • François Becmeur
    • 1
  1. 1.Pediatric SurgeryHôpital de Hautepierre University of StrasbourgFrance

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