Diaphragm
This video demonstrates the implantation of bilateral phrenic nerve pacing leads using a robotic subxiphoid approach without lung isolation. This approach was utilized because the patient presented with central hypoventilation and chronic high CO2 levels;...
This video demonstrates the implantation of bilateral phrenic nerve pacing leads using a robotic subxiphoid approach without lung isolation. This approach was utilized because the patient presented with central hypoventilation...
In this panel discussion, surgeons Leanne Ashrafian and Andrea Bille, both consultant thoracic surgeons in the Department of Thoracic Surgery at Guy’s St Thomas’ NHS Foundation Trust, join Ammara Watkins,...
Diaphragmatic defects involving the central tendon are uncommon and may present diagnostic uncertainty, particularly when identified incidentally on imaging. Surgical management can be technically challenging due to attenuated tissue quality...
The patient in this case is a sixty-year-old woman with increasing shortness of breath, especially in a horizontal position. She was diagnosed with right-sided diaphragmatic paralysis. Surgeons suspected trauma or...
In this brief clinical video, the authors demonstrate the use of the Endo360⁰ suturing device from EndoEvolution (Assut Europe, SpA, Rome, Italy) for plication of the left hemidiaphragm. The authors...
Phrenic nerve paralysis is not an uncommon problem (1), and it can cause diaphragm paralysis. This gentleman had a thoracotomy and diaphragm plication four years previously. Unfortunately, the plication failed,...
Minimally invasive plication of the diaphragm is a life changing procedure for patients affeted by diaphragm paralysis. The three-port procedure was conceived in Middlesbrough and it is now spreading around...
This video demonstrates a VATS diaphragm plication in the full 3D in which it was performed. To appreciate the 3-dimensional quality of the video, you will need a 3D screen....
Preoperative Inspiratory Muscle Training (IMT) with the Powerbreathe device was assessed with regard to whether A-a gradients and inspiratory muscle power would be improved after CABG. A group of 40...
Prospective observational cohort study of 106 patients undergoing repair of giant paraesphageal hernia (GPEH) with near complete follow-up at 1 year. Outcomes measured at the first postoperative visit and at...
In this single site retrospective review, outcomes of repair of giant paraesophageal hiatal hernia were reviewed with respect to the effects of patient age. Patients aged 80 or greater had...
In a retrospective review of patients undergoing esophagectomy at two high volume centers, the incidence of hiatal hernia was 5% – 10%. The incidence did not differ between open and...






