OBJECTIVE: To review our experience in the management of traumatic diaphragmatic hernia. MATERIALS AND METHODS: The records of all patients operated for diaphragmatic hernia between January 1998 and October 2008 at S.D.S Sanitorium and Rajiv Gandhi Institute of Chest Diseases, Bangalore, India were reviewed. Details of their clinical presentation, mode of diagnosis, operative findings and postoperative outcome were analysed. RESULTS: Twenty nine patients underwent surgery for traumatic diaphragmatic hernia. The cause of rupture was blunt trauma in 24(83%) patients and penetrating trauma in 5(17%) patients. In 21 (72%) patients the diagnosis was made within 24 hrs and in 8(28%) patients the diagnosis was made after 24 hrs. Thoracotomy was the most common surgical approach used in 20(69%) patients. Post operative morbidity was 24% and mortality was 13.8%. CONCLUSION: X-ray chest is still very useful in the diagnosis of diaphragmatic ruptures. Right sided ruptures are difficult to diagnose. Diaphragmatic hernia repair can be done through a thoracotomy with acceptable results in patients without concomitant intra abdominal injuries.
OBJECTIVE: To review our experience in the management of traumatic diaphragmatic hernia. MATERIALS AND METHODS: The records of all patients operated for diaphragmatic hernia between January 1998 and October 2008 at S.D.S Sanitorium and Rajiv Gandhi Institute of Chest Diseases, Bangalore, India were reviewed. Details of their clinical presentation, mode of diagnosis, operative findings and postoperative outcome were analysed. RESULTS: Twenty nine patients underwent surgery for traumatic diaphragmatic hernia. The cause of rupture was blunt trauma in 24(83%) patients and penetrating trauma in 5(17%) patients. In 21 (72%) patients the diagnosis was made within 24 hrs and in 8(28%) patients the diagnosis was made after 24 hrs. Thoracotomy was the most common surgical approach used in 20(69%) patients. Post operative morbidity was 24% and mortality was 13.8%. CONCLUSION: X-ray chest is still very useful in the diagnosis of diaphragmatic ruptures. Right sided ruptures are difficult to diagnose. Diaphragmatic hernia repair can be done through a thoracotomy with acceptable results in patients without concomitant intra abdominal injuries.
Authors: Mario Testini; Antonia Girardi; Roberta Maria Isernia; Angela De Palma; Giovanni Catalano; Angela Pezzolla; Angela Gurrado Journal: World J Emerg Surg Date: 2017-05-18 Impact factor: 5.469
Authors: Ketlen Gomes da Costa; Rafaelle Taynah Soares da Silva; Marineide Santos de Melo; Jade Thays Saldanha Pereira; Juan Eduardo Rios Rodriguez; Renato Carvalho Amaral de Souza; Izabela Augusta de Oliveira Medeiros Journal: Int J Surg Case Rep Date: 2019-09-04
Authors: Abbas H Alsuwayj; Ali H Al Nasser; Abdulaziz M Al Dehailan; Abdullah Z Alburayman; Khalid A Alhuwaiji; Khurayzan F Binsifran; Ibrahim M Almulhim; Abdullah F Almulhim; Mohammed A Al Amer; Mohannad A Almulhim; Abdullatif Y Almulhim; Abdullah A Almulhim; Insaf A Alhazoom; Ahmed A Albakheet; Faisal Al-Hawaj Journal: Cureus Date: 2021-12-10