THE MAIN ASPECTS OF DIAPHRAGM EVENTRATION IN CHILDREN: PATHOPHYSIOLOGY, CLINIC, TREATMENT
https://doi.org/10.51922/1818-426X.2025.1.12
Abstract
The article provides a literature review on the anatomy, physiology, diagnosis and treatment of diaphragm eventration in children. There are congenital and acquired variants of pathology. The reason of congenital eventration development is a malformation of its muscle layer. The main reasons of obtained diaphragmatic eventration in children are damage of the phrenic nerve during surgical correction of congenital heart defects (CHD), birth trauma or catheterization of central veins. Injuries of the phrenic nerve, accompanied by diaphragm eventration, are registered after cardiac surgery with a 0.3 % to 12.8 % rate. The frequency of this complication in the Republican Scientific and Practical Center of Pediatric Surgery (Belarus) was 2.54 % in 2021; 2.94 % in 2022; 3.16 % in 2023. The increase in the diaphragm eventration number after cardiac surgery is associated with an increase in the complex surgeries number in the structure of surgical activity, as well as the number of repeated heart operations (resternotomies).
About the Authors
E. A. Alesin
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
Yu. G. Degtyarev
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
A. M. Makhlin
Республиканский научно-практический центр детской хирургии
Belarus
Belarus
Yu. I. Linnik
Республиканский научно-практический центр детской хирургии
Belarus
Belarus
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Review
For citations:
Alesin E.A., Degtyarev Yu.G., Makhlin A.M., Linnik Yu.I. THE MAIN ASPECTS OF DIAPHRAGM EVENTRATION IN CHILDREN: PATHOPHYSIOLOGY, CLINIC, TREATMENT. Medical Journal. 2025;(1):12-18. (In Russ.) https://doi.org/10.51922/1818-426X.2025.1.12
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