Clinical and Sonographic Diaphragm Evaluation Post-plication

NCT ID: NCT04052295

Last Updated: 2021-05-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-01-01

Study Completion Date

2020-01-30

Brief Summary

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Objectives: We aim to clarify the role of diaphragm ultrasonography (DUS) in evaluating the outcome of surgical diaphragmatic plication (SDP) in adults with symptomatic unilateral diaphragmatic paralysis (UDP).

Detailed Description

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Conditions

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Diaphragmatic Plication Unilateral Diaphragmatic Paralysis Diaphragm Ultrasonography

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Interventions

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surgical diaphragmatic plication

The plication was done by the same surgeon either via a 7-8 cm long lateral thoracotomy and entrance to the pleural cavity through the eighth intercostals space on the affected side or using VATS (video-assisted thoracoscopic surgery) procedure. It was performed under single lumen intubation general anaesthesia. The diaphragm with the abdominal content was pushed caudally till the normal position of the copula achieved. At this position a fold of about 5 cm is made using traction forceps of the reluctant diaphragm. Polypropylene sutures (zero or 1) were used to perform the plication of the diaphragm. in making a fold on itself. The plication was performed using interrupted polypropylene U-stitches; usually, it started from posterior part to the anterior part of the diaphragm. We merged every two rows with continuous polypropylene sutures. The diaphragm became tough and firm and returned to its normal position. An intercostal tube was inserted, and the thoracotomy was closed in layers.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

\- Symptomatic unilateral diaphragmatic paralysis.

Exclusion Criteria

* Children
* Morbid obesity
* Certain neuromuscular disorders
* Previous thoracic surgical intervention on the affected
* Recurrent eventration
Minimum Eligible Age

21 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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South Valley University

OTHER

Sponsor Role lead

Responsible Party

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Mohamed Abdel Bary Ahmed Ibrahim

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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South Valley University 1576

Identifier Type: -

Identifier Source: org_study_id

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