Abstract
Acute diaphragmatic hernia is a result of diaphragmatic injury that accompanies severe blunt or penetrating thoracoabdominal trauma. It is frequently diagnosed early on the trauma bay chest radiograph or CT scan of the chest. However, in the absence of a hernia, it may be difficult to identify traumatic diaphragmatic injury on conventional imaging. A midline laparotomy is the advocated approach for repair of acute diaphragmatic trauma because it offers the possibility of diagnosing and repairing frequently associated intraabdominal injuries. In hemodynamically stable patients with penetrating left thoracoabdominal trauma, the incidence of injury to the diaphragm is very high, and thoracoscopy or laparoscopy is recommended for the diagnosis and repair of a missed diaphragmatic injury. Repair with nonabsorbable simple sutures is adequate in most cases, and the use of mesh should be reserved for chronic and large defects. Outcomes of acute diaphragmatic hernia repair are largely dictated by the severity of concomitant injuries, with the Injury Severity Score being the most widely recognized predictor of mortality.
References
May 1, 1978·Hippokrates·H Fischer
Jan 1, 1992·The Journal of Trauma·B R BoulangerA Rodriguez
Feb 1, 1992·The Journal of Trauma·R J ScorpioD R Gens
Aug 1, 1988·The British Journal of Surgery·D DemetriadesC Hatzitheofilou
Aug 1, 1988·The Journal of Trauma·D V FelicianoA C Beall
May 1, 1986·The Journal of Trauma·G Rodriguez-MoralesC H Shatney
Jan 1, 1968·The Journal of Trauma·L I Epstein, R E Lempke
Jun 1, 1970·American Journal of Surgery·C H Andrus, J H Morton
Jul 1, 1980·The Journal of Trauma·M L Waldschmidt, H L Laws
Jan 1, 1981·The Journal of Trauma·R E WardW P Clark
Dec 1, 1994·American Journal of Surgery·B MartsW B Luchtefeld
May 1, 1993·The Journal of Trauma·M G OchsnerH R Champion
Nov 1, 1995·The Annals of Thoracic Surgery·R ShahA K Choudhury
Nov 14, 1997·The Journal of Trauma·J A MurrayT V Berne
Jul 27, 2007·Thoracic Surgery Clinics·James R Scharff, Keith S Naunheim
Sep 22, 2007·Injury·Sevval ErenAtilla Durkan
Feb 23, 2008·The Annals of Thoracic Surgery·Waël C HannaDavid S Mulder
Jun 16, 2010·General Thoracic and Cardiovascular Surgery·Mitsuhiro KamiyoshiharaIzumi Takeyoshi
Citations
Jan 25, 2014·International Journal of Critical Illness and Injury Science·Angeline Neetha RadjouPreetam Mahajan
Nov 16, 2011·General Thoracic and Cardiovascular Surgery·Ioannis BaloyiannisMatheos Efthimiou
Jul 4, 2012·World Journal of Emergency Surgery : WJES·Dimitrios SymeonidisKonstantinos Tepetes
Jan 17, 2012·The American Journal of the Medical Sciences·Chien-Ming ChaoChih-Cheng Lai
May 25, 2016·Trauma Monthly·Nikita R Bhatt, Morgan McMonagle
Apr 23, 2015·Pediatric Surgery International·Fanny YeungPaul Kwong Hang Tam
May 16, 2012·International Journal of Surgery Case Reports·Omar Al-NouriThomas Esposito
Aug 16, 2014·Surgical Endoscopy·Monde MjoliThandinkosi Madiba
Mar 7, 2018·Lung·Kimberly J SongChristopher W Seder
Jan 31, 2018·Bulletin of Emergency & Trauma·Hassan Al-ThaniAhmad Zarour
Apr 17, 2018·The Journal of Trauma and Acute Care Surgery·Matthew J MartinKenji Inaba
Apr 30, 2019·Journal of Minimal Access Surgery·Devender SinghSurabhi Vyas
Jun 2, 2018·Annals of Surgical Treatment and Research·Jin Young LeeJoong Suck Kim
Jun 21, 2017·World Journal of Emergency Surgery : WJES·Zach M KotoOleh Y Matsevych
Aug 17, 2018·Khirurgiia·V D Parshin, M A Khetagurov
Oct 4, 2019·Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society·Nupur AggarwalNavneet Kaur
Jul 6, 2018·The Indian Journal of Surgery·Soykan ArikanTurkan Dubus
May 24, 2019·Khirurgiia·V D ParshinM Khetagurov
Nov 24, 2020·Curēus·Filipa Campos CostaJosé Guerreiro