diaphragm plication complications

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Dr. David Earle answered:

Is diaphragm plication an unusual or uncommon surgery?

Yes

Chest
It is usually done for symptomatic eventration, an should generally be done by a thoracic surgeon with experience doing this operation thoracoscopically.
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Dr. George T Tsai answered:

How long should it take to recover from a diaphragm plication?

It depends

Stringio
There are many technical components and individual variations to take into consideration. Initial discomfort may be over in 1-2 wks if done via scope, 4-6 wks for open. However, optimal healing stability is around 3 months - longer if you have complications or comorbidities.
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How should I use the diaphragm?

Before intercourse

Vulva
Use contraceptive jelly inside the diaphragm and around the rim. Place it before intercourse and leave it in until 6 hours after. Use more jelly in the vagina if you get inspired and have intercourse again but don't remove it to refresh the jelly. Take it out in the morning if you fall asleep.
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How can I remove the diaphragm?

Pull it out

Diaphragms are easily removed by hooking your finger under the edge of the diaphragm and pulling it out.
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Dr. Raj Syal answered:

Do all diaphragms work the same?

Yes

Diaphragms come in different sizes and have to be fitted by your doctor.
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Tearing pain in diaphragm left side?

See a doctor

Lacrimation
If the pain is that severe see your doctor asap or go to the emergency room. There can numerous causes, some of which can be a medial emergency.
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When should you remove the diaphragm?

8 hrs

Sexual_intercourse
Leave the diaphragm in for 8 hours after intercourse. If you have sex again before the 8 hours is up, do NOT remove the diaphragm, but add more of the spermicidal jelly into the vagina.
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Dr. Raj Syal answered:

Could the diaphragm cause infections

Yes

Spermicide
However, it is more likely to cause irritation from either rubbing or from the spermicide.
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Dr. Hugo D. Ribot answered:

Do I ever need to refit the diaphragm?

Yes

Bladder
In general after every pregnancy and if there is a substantial weight change. One might consider more effective alternatives as methods such as this which require patient participation are among the less reliable ones. In addition, there is some data to suggest that bladder infections may be more common in diaphragm users.
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How does a diaphragm work in the body?

As a barrier

The diaphragm acts as a barrier to prevent sperm from getting into the uterus and joining with eggs to prevent pregnancy. Diaphragms should be used with a spermacide gel or cream to make them more effective.
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