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Nancy Claire Poirier
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Ann Thorac Surg 1996;62:905-907
© 1996 The Society of Thoracic Surgeons


How To Do It

Technique for the Repair of Diaphragmatic Eventration

Jérôme Mouroux, MD, Bernard Padovani, MD, Nancy Claire Poirier, MD, Daniel Benchimol, MD, André Bourgeon, MD, Jean Deslauriers, MD, Henri Richelme, MD

Département de Chirurgie Thoracique, Hôpital Pasteur, Nice, France

Accepted for publication May 23, 1996.

In contrast to the large thoracotomy incisions required by standard surgical techniques for repair of diaphragmatic eventration, the procedure we developed can be performed by video-assisted thoracoscopy, thus offering patients the advantages of a minimally invasive operation. Using two superposed series of transverse back-and-forth continuous sutures, the diaphragm is invaginated, then stretched. The first suture line holds the diaphragm down and maintains the excess within the abdomen; the second suture line places the desired tension on the diaphragmatic dome. Successful repair of 3 cases by this technique is described.




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