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Unlike other bariatric procedures it does not involve gastric banding stomach stapling or bypassing the stomach. Plication of the diaphragm is a surgical procedure that has been performed since the 1920s for the treatment of diaphragmatic paralysis. Learn The Key Differences Between Gastric Sleeve Gastric Sleeve Sleeve Surgery Gastric Sleeve Surgery This condition usually leads to breathing difficulties. Plication surgery . During plication of the penis an artificial erection is created from either injection of a saltwater solution or selected medications. Plication of the diaphragm is performed for paralysis or eventration abnormal elevation shape of the diaphragm which can result in breathing difficulties. Plication of uteroovarian ligaments remains the most anatomically feasible method. The penile skin is first degloved using a circumcising incision that exposes the neurovascular bundles which is the nerves and arteries going towards the head of the penis. A plication o...