TRAUMATIC DIAPHRAGMATIC INJURIES

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Traumatic diaphragmatic injuries: epidemiological, diagnostic and therapeutic aspects

INTRODUCTION Diaphragmatic injuries include wounds and diaphragm ruptures, due to a thoracoabdominal blunt or penetrating traumas. Their incidence ranges between 0.8 and 15 %. The diagnosis is often delayed, despite several medical imaging techniques. The surgical management remains controversal, particularly for the choice of the surgical approach and technique. The mortality is mainly related...

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Early Diagnosis and Treatment of Traumatic Diaphragmatic Injuries

Introduction: Early diagnosis and treatment of injuries of the diaphragm are important both because of high incidence of concomitant injuries and since they may lead to life-threatening intestinal and gastric strangulation in the late term. Herein, cases with diaphragmatic injury that have been diagnosed and operated in the early period after injury or during surgery were presented. Methods: Da...

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Traumatic diaphragmatic hernia.

Rupture of the diaphragm and herniation of the abdominal viscera into the chest are wellrecognized results of crushing or penetrating injuries. Gordon Bryan's study (1921) of both types of injury is a surgical classic. The second world war rekindled interest in traumatic diaphragmatic hernia, and several important papers dealt with those due to penetrating injury (Edwards, 1943; Mackey and Bing...

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[Traumatic diaphragmatic hernia].

A series of 58 cases of traumatic diaphragmatic hernia following blunt and penetrating injury is reviewed. The problems of radiodiagnosis are outlined and the need for barium contrast studies of the entire gastrointestinal tract to ensure recognition of isolated small bowel herniation is emphasized. Surgical access via laparotomy is recommended in the immediate post-traumatic presentation, wher...

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Delayed traumatic diaphragmatic hernia

BACKGROUND Traumatic diaphragmatic hernias (TDHs) are sometimes difficult to identify at an early stage and can consequently result in diagnostic delays with life-threatening outcomes. It is the aim of this case study to highlight the difficulties encountered with the earlier detection of traumatic diaphragmatic hernias. METHODS Clinical data of patients who received treatment for delayed tra...

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ژورنال

عنوان ژورنال: The journal of the Japanese Practical Surgeon Society

سال: 1984

ISSN: 0386-9776

DOI: 10.3919/ringe1963.45.1446