JOCS

The aim of the Comprehensive Surgery is to publish original research articles of the highest scientific and clinical value at the international level in all surgical fields.

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Letter to the Editor
Beyond analgesia: a perioperative continuum for diaphragm protection
Postoperative pulmonary complications remain a leading cause of morbidity after abdominal surgery. The recent study by Gültop and Şensöz Çelik offers an important contribution: combined block and intravenous (BIV) analgesia effectively preserves postoperative diaphragm contractility compared with single-modality techniques.


1. Gültop F, Şensöz Çelik G. The effects of analgesia methods on postoperative diaphragm muscle contraction in patients undergoing laparotomy. J Compr Surg. 2025;3(3):53-58. doi:10.51271/JOCS-0059
2. Yu P, Luo Z, Wang Y, et al. Preoperative inspiratory muscle training improves lung function prior to elective heart valve surgery and reduces postoperative lung function impairment and pulmonary complications: a randomised trial. J Physiother. 2025;71(1):27-34. doi:10.1016/j.jphys.2024.12.002
3. Buonanno P, Marra A, Iacovazzo C, et al. Impact of ventilation strategies on pulmonary and cardiovascular complications in patients undergoing general anaesthesia for elective surgery: a systematic review and meta-analysis. Br J Anaesth. 2023;131(6):1093-1101. doi:10.1016/j.bja.2023.09.011
4. Hao X, Yang Y, Liu J, et al. The modulation by anesthetics and analgesics of respiratory rhythm in the nervous system. Curr Neuropharmacol. 2024;22(2):217-240. doi:10.2174/1570159X21666230810110901
5. Saad M, Pini S, Danzo F, et al. Ultrasonographic assessment of diaphragmatic function and its clinical application in the management of patients with acute respiratory failure. Diagnostics (Basel). 2023;13(3):411. doi:10.3390/diagnostics13030411
Volume 4, Issue 2, 2026
Page : 51-53
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