Eventration/relaxation of the diaphragm due to birth trauma. Reinnervation in addition to plication. Long-term distant results of diaphragm function restoration
DOI:
https://doi.org/10.15574/PS.2025.1(86).121130Keywords:
diaphragm eventration, reinnervation, diaphragm plication, simultaneous surgery, thoracotomy, respiratory distress syndrome, lung dead space, Erb-Duchenne birth paralysisAbstract
Aim - retrospective analysis of the catamnesis observation of children with eventration/relaxation of the diaphragm due to birth trauma with surgical reinnervation and plication.
Clinical cases. Two children were followed up and analyzed, both born with full relaxation of the diaphragm dome on the right side, Erb-Duchenne plexitis, hydrocephalic syndrome due to hypoxic-ischemic brain injury, and pneumonia. The diagnosis was established in the early neonatal period, and the severity of respiratory disorders required respiratory support (mechanical ventilation of the lungs) and intensive therapy in the newborn intensive care unit. The clinical cases presented demonstrate a rare pathology of birth paralysis of the diaphragm dome due to damage to the phrenic nerve. The patients were treated surgically by means of reventration of the diaphragm dome using the plication method with simultaneous reinnervation. These surgical interventions had a 100% success rate among the patients.
Conclusions. Diaphragmatic eventration is a rare pathology accompanied by respiratory disorders, severe respiratory failure requiring mechanical ventilation with subsequent surgical intervention to restore diaphragm function. Correction of the diaphragm eventration using the plication method with simultaneous reinnervation is the most effective surgical method of treatment in newborns.
The research was carried out in accordance with the principles of the Declaration of Helsinki. Informed consent of the child and child's parents was obtained for the studies.
No conflict of interest was declared by the author.
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