Introduction: Traumatic diaphragmatic injuries are potentially life-threatening due to herniation of abdominal organs into the pleural cavities. They can be easily overlooked on initial diagnostics and a high index of suspicion is required. Aim: To analyse the various traumatic diaphragmatic hernias.
Material and methods:A clinical study to analyse 50 patients in our experience with patients suffering from traumatic diaphragmatic rupture.Results: 18-50 yrs of age group is the most affected age group with diaphragmatic hernias, gender wise males with blunt injuries are more in study. Right sided is the more affected side. The cause of diaphragmatic rupture was blunt injuries in 23 cases and penetrating injury in 5 cases. 3 patients with acute presentation had uneventful recovery, 2 patients had bile peritonitis and one died. In the cases with late presentation, all patients had uneventful recovery but for 9 patients who had intestinal obstruction. On the 6 th. post-op day, one patient with -acute intestinal obstruction and sepsis, died.Conclusions: Morbidity and mortality of diaphragmatic ruptures are mainly determined by associated injuries or complications of diaphragmatic herniation like incarceration of viscera or lung failure. Early diagnosis helps to prevent severe complications. Laparotomy is an adequate surgical approach for diaphragmatic repair.
Despite the development of novel drugs to tackle MDR tuberculosis, the incidence and prevalence of PTB remains significant. While majority of the patients completed treatment, they often come back with post-TB sequelae. Surgical advancements in the form of VATS and robotic surgery, management of post-tuberculosis sequelae such as chronic empyema and abscess is simpler. However, adhesions make the surgical field very challenging due to distortion in anatomy. Hence, we present this study so that we could share our institutional knowledge regarding the outcomes of surgery performed for post-tuberculosis sequelae.
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