Lower Thoracic Epidural Block in Diaphragmatic Plication: A Case Report

Annals of Cardiac Anaesthesia 2026 Open access

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Authors: Jes Jose, Nagarjuna Panidapu, Soundarya Murgesh Kalligudd, Thushara Madathil, Rohik Micka, Tony Jose Joseph, Devika Poduval, Don Jose Palamattam, Praveen Kumar Neema
DOI: 10.4103/aca.aca_78_25
Cited by: 0
References: 8

Abstract

Acquired diaphragmatic eventration (DE) is an uncommon condition characterized by all or a portion of the diaphragmatic muscle replaced by a thin fibroelastic sheath, resulting in an abnormal elevation of the hemidiaphragm. Currently, the treatment of choice for symptomatic DE is a minimally invasive diaphragmatic plication via a video-assisted thoracoscopic or robotic approach. Surgical diaphragmatic plication is often associated with increased intra-abdominal pressure (IAP) and associated complications. This report describes the usefulness of lower thoracic epidural block in the management of raised IAP following surgical plication of the diaphragm.

Fields of Study & Subjects

Anesthesia and Pain Management Hernia repair and management Intraoperative Neuromonitoring and Anesthetic Effects

Publication details

Journal / source
Annals of Cardiac Anaesthesia
Volume
29
Issue
1
Pages
118–120
Publication date
1 January 2026
Language
EN