{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:40:45Z","timestamp":1786653645414,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.4103\/aca.aca_78_25","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T16:00:44Z","timestamp":1768579244000},"page":"118-120","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Lower Thoracic Epidural Block in Diaphragmatic Plication: A Case Report"],"prefix":"10.4103","volume":"29","author":[{"given":"Jes","family":"Jose","sequence":"first","affiliation":[{"name":"Department of Cardiac Anaesthesiology and Critical Care, Amrita Institute of Medical Sciences, Amrita Lane, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nagarjuna","family":"Panidapu","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anaesthesiology and Critical Care, Amrita Institute of 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