Abdulkarim A. Alnqshbndi, the patient who said that he could not lie on his back for a long time, could not eat comfortably and could not breathe without oxygen support, thanked the Turkish doctors. 61-year-old Abdulkarim A. Alnqshbndi got rid of respiratory distress due to Diaphragmatic Height, which he had been struggling with for years, thanks to Turkish surgeons. The patient, who could not breathe without oxygen support, 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 respiratory therapy. After the operation, the patient said that he was happy to breathe comfortably without oxygen support, “I have struggled with this disease for many years.
FOR THE FIRST TIME IN YEARS, HE CAN LIE 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 like this in Iraq, that there was no cure for it and that I had to get used to it over 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. I regained my health, first thanks to God and then Özkan Bey and his team. After the surgery, I started sleeping on my back. I don’t remember ever having slept so well in a long time. I forgot to eat with pleasure, it is so nice to be able to experience it again. Most importantly, it feels great to be able to breathe without oxygen support. I would like to thank my doctor and his team.” said.
It is an ailment that must be treated.
Thoracic Surgery Specialist Assoc. Dr. Özkan Demirhan said, “The diaphragm is one of our most important 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 a part of the diaphragm muscle, provided that the parts to which it is attached to the rib and organ connections are not impaired. Shortness of breath is the main symptom in patients with diaphragmatic elevation or diaphragmatic nerve palsy. In patients with diaphragmatic height, its function is decreased or lost due to the immobility of the diaphragm. Therefore, due to the maladaptation of the lung and thoracic wall, there are significant changes in respiration or respiration is impaired. The situation we call paradoxical breathing occurs, that is, both rib cages begin to move separately. This is among the factors that increase shortness of breath.
In some patients, a decrease in oxygen in the blood, called hypoxemia, can 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 people, patients with elevated diaphragm may experience severe respiratory distress in some patients, as the displacement of the abdominal organs towards the thorax in the supine position will lead to a further decrease 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 position changes. 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 important diagnostic factor for diaphragmatic elevation. Patients eventually have to work in an upright position and sleep in a sitting position. Abdulkarim Bey was such a patient. He reached us with severe difficulty in breathing.
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 respiratory physiotherapy for about a week. In this way, we made it suitable for surgery. We planned the diaphragm plication technique with a minimally invasive method, but plication could not be performed because the abdominal organs, stomach and large intestines were highly adherent to the diaphragm. We freed 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 position, the pressure in the lung disappeared and the effort capacity increased. Thus, the shortness of breath disappeared. He ate and began to lie comfortably on his back.” he said.