Management of Left Hemidiaphragm Eventration

Surgical Approach

• The World Health Organization recommends minimally invasive video-thoracoscopic plication as the gold standard approach for left hemidiaphragm eventration, offering significant improvement in dyspnea and quality of life, excellent safety profile with low morbidity and mortality, and long-lasting functional benefit approaching 100% 1

Surgical Technique

• The European Respiratory Society suggests using interrupted non-absorbable sutures (2-0 or 1-0 monofilament) to plicate the elevated diaphragm, creating multiple rows of sutures to flatten and stabilize the hemidiaphragm 1