The patient Abdulkarim A. Alnqshbndi, who said that he could not lie on his back for a long time, could not eat comfortably and could not breathe without an oxygen support, thanked the Turkish doctors. 61-year-old Abdulkarim A. Alnqshbndi got rid of the breathing problem due to Diaphragmatic Height, which he had been dealing with for years, thanks to Turkish surgeons. The patient, who could not breathe without oxygen supplementation, stated that he had difficulty in eating for years and could not lie on his back at all. Assoc. Dr. The patient, who was treated by Özkan Demirhan, was made suitable for surgery by first applying medical treatment and breathing therapy. After the operation, the patient said that he was happy to breathe comfortably without oxygen supplementation, “I have struggled with this disease for many years.
THE FIRST TIME AFTER YEARS, HE WAS LIABLE ON THE BACK…
I can say that I almost forgot how to breathe properly. I was afraid to eat because my complaints were getting worse after the meal. I haven’t slept on my back for many years. They said that I would live in this situation in Iraq, that there was no cure for it and that I had to get used to this situation in time. Turkish doctors of a close relative of mine had saved his life with surgery. After this incident, I decided to be treated in Turkey. First of all, thanks to God and then Özkan Bey and his team, I regained my health. After the surgery, I started sleeping on my back. I don’t remember sleeping so well in a long time. I forgot to eat with pleasure, it’s nice to be able to experience it again. Most importantly, it is a wonderful feeling to be able to breathe without oxygen supplementation. I would like to thank my doctor and his team.” said.
It’s definitely a condition that needs to be treated.
Thoracic Surgery Specialist Assoc. Dr. Özkan Demirhan said, “The diaphragm is one of our most valuable respiratory muscles and is the name given to the flat wide muscle structure that separates the abdominal cavity from the thoracic cavity. Diaphragmatic height (Evantration) is the permanent elevation of all or part of the diaphragm muscle, provided that the parts attached to the ribs and organ contacts are not impaired. Shortness of breath is the most important symptom in patients with diaphragmatic elevation or diaphragmatic border paralysis. In patients with diaphragmatic height, its function is reduced or lost due to the immobility of the diaphragm. Therefore, due to the imbalance of the lung and thoracic walls, there are important changes in breathing or breathing is disturbed. The situation we call paradoxical breathing occurs, that is, both rib cages begin to move separately. This is in the middle of the factors that increase shortness of breath.
In some patients, a decrease in oxygen in the blood, called hypoxemia, may be observed. If the reflex hyperventilation that develops to correct hypoxemia, that is, the normal air inlet-output required to maintain the normal gas level of the blood, occurs above the normal level, it causes respiratory alkalosis. In contrast to normal individuals, in patients with elevated diaphragm, some patients may experience severe respiratory impairment, since the actual displacement of the abdominal organs to the thorax in the supine position will lead to a further reduction in lung volumes. Especially in patients with left diaphragmatic elevation, symptoms such as abdominal pain, bloating, heartburn, vomiting, belching, nausea, constipation and weight loss may develop. These complaints are characteristically exacerbated by changes in location. In the examination of patients with moderate and severe diaphragmatic elevation (eventration), collapse in the lower part of the rib cage on the affected side and collapse in the abdomen may be detected. Severe and progressive dyspnea on bending or lying down is the most valuable diagnostic factor for diaphragmatic elevation. Patients eventually have to always work in an upright position and sleep in a sitting position. Abdulkarim was such a patient. It reached us with advanced breathing difficulties.
He could not sleep on his back at all. His entire body muscles were weakened from being inactive for a long time. When he arrived, his condition was not suitable for surgery, so we applied medical treatment and breathing physiotherapy for about a week. In this way, we made it suitable for surgery. We planned the diaphragm plication technique with a minimally invasive technique, but plication could not be performed because the abdominal organs, stomach and large intestines were highly adherent to the diaphragm. We liberated the diaphragm from the abdominal organs. We performed diaphragm resection and replaced the diaphragm with an artificial graft and brought it to its normal position. After the diaphragm was brought to its normal state, the pressure in the lung disappeared and the effort capacity increased. Thus, the shortness of breath was eliminated. He ate and began to lie comfortably on his back.” spoke form.
