Traumatic diaphragmatic hernia-our experience

Peer, Syed Murfad; Devaraddeppa, Patil Mallikarjun; Buggi, Shashidhar

doi:10.1016/j.ijsu.2009.09.003

Cited by 38 publications

(40 citation statements)

References 13 publications

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“…Some studies show a preference for the thoracic approach, even in acute ruptures, since abdominal injuries are ruled out 6 , while others prefer the abdominal approach even in the chronic injury, and some still show that the approach is dependent on the emergency call staff 7 . In view of the above, the lack of a consensus for a better approach to TDR and a better postoperative period with lower morbidity and mortality, this systematic review was carried out in an attempt to demonstrate the most used approach to the different situations: thoracic or abdominal approach in the acute, chronic, right and left lesion and in which one the requirement to assess the second cavity is more frequent.…”

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confidence: 99%

Thoracotomy compared to laparotomy in the traumatic diaphragmatic hernia. Systematic review and proportional methanalysis

Silva

Catâneo

2018

Acta Cir. Bras.

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Purpose: To evaluate the most used approach to treat traumatic diaphragmatic ruptures, and in which one the requirement to assess the second cavity is more frequent. Methods: Systematic review, observational studies. Outcomes: moment of approach, most commonly via addressed and the requirement to open the other cavity. Bases searched: Lilacs, Pubmed, Embase, Clinicaltrials.gov and Web of Science. Statistical analysis: StatsDirect 3.0.121 software. Results: Sixty eight studies (2023 participants) were included. Approach in acute phase was performed four times more than in chronic phase. Approach: abdominal 65% (IC 95% 63-67%), thoracic 23% (IC 95% 21-24%), abdominal in the acute phase 75% (IC 95% 71-78%), and chronic 24% (IC 95% 19-29%), thoracic in the acute phase 12% (IC 95% 10-14%) and chronic 69% (IC 95% 63-74%). Thorax opening in the abdominal approach: 10% (95% CI 8-14%). Abdomen opening in the thoracic approach: 15% (95% CI 7-24%). Conclusions: The most common approach was the abdominal. The approach in the acute phase was more common. In the acute phase the abdominal approach is more frequent than the thoracic approach. In the chronic phase the thoracic approach is more frequent than the abdominal one. The requirement to open the second cavity was similar in both approaches.

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confidence: 99%

Thoracotomy compared to laparotomy in the traumatic diaphragmatic hernia. Systematic review and proportional methanalysis

Silva

Catâneo

2018

Acta Cir. Bras.

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“…Laparotomy, due to the complete exploration of the abdominal viscera, is the most common approach for treatment of TDH [2]. However, when there are no abdominal injuries, it is easier to reduce the herniated tissues and repair the diaphragm via a thoracotomy [3]. In our paper, all the patients underwent thoracotomy successfully except one case.…”

Section: Discussionmentioning

confidence: 72%

“…The diagnosis is often delayed or missed. The most common mode of presentation is chest pain or upper abdominal pain with breathlessness [3]. Therefore, the detailed history and careful physical examination for diagnosis are necessary.…”

Section: Discussionmentioning

confidence: 99%

“…As laparotomy is commonly performed following trauma, the most common approach for treatment of TDH is laparotomy [2]. However, according to some published papers, thoracotomy has also been performed to treat TDH [3]. In our study, we analyzed the clinical presentation, thoracotomy management, and outcome of treatment of 23 patients with TDH and reviewed our experience with the diagnosis and treatment of these patients.…”

Section: Introductionmentioning

confidence: 99%

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Thoracotomy for Traumatic Diaphragmatic Hernia

Zhang¹,

Zheng

Chun

et al. 2016

Indian J Surg

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The aim of this retrospective study is to review our experience in the diagnosis and role of thoracotomy for traumatic diaphragmatic hernia (TDH). Between January 2008 and June 2014, 23 patients from Yangzhou Medical College (Yangzhou China) and Lishui Center Hospital (Lishui China), who underwent thoracotomy for TDH, were analyzed. The clinical features, imaging findings, operative findings, and outcome of treatment in these patients are presented. There were 23 patients (18 males and 5 females) who underwent surgical procedures due to TDH. The median age of the patients was 43.2 years (range, 15-68 years). The cause of rupture was penetrating trauma in 1 (4.3 %) patient and blunt trauma in 22 (95.7 %) patients. The TDH was left sided in 21 patients and right sided in two patients. The diagnosis was made by chest X-ray (n = 2) and chest or abdominal CT (n = 13) and at thoracotomy based on a high index of suspicion (n = 8). Associated injuries were seen in 21 patients (91.3 %). Twenty-two patients underwent thoracotomy, and one underwent thoracotomy with laparotomy. The mean operating time was 112 min (range, 60-185 min) and the mean blood loss was 116 mL (range, 20-400 mL). The most common herniated organs were the omentum (n = 15), stomach (n = 14), spleen (n = 11), colon (n = 10), small bowel (n = 2), and liver (n = 1). All diaphragmatic defects were repaired using interrupted prolene sutures. The overall mortality rate was 4.3 % (n = 1). The diagnosis of TDH is easily missed or delayed. Chest X-ray and computer tomography (CT), especially chest and abdominal CT, are useful in the diagnosis of diaphragmatic ruptures, and thoracotomy is an effective and successful treatment for TDH.

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“…Diaphragmatic hernia is defined as the protrusion of the abdominal viscera into the thoracic cavity through a defect in the diaphragm, usually caused by traumatic injury or as a complication after abdominal surgery [6][7][8][9]. Diaphragmatic hernia after RFA is very rare and was unrecognized as a complication after RFA until recently, when it was reported as a delayed complication of RFA [10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Repair of Diaphragmatic Perforation with Colonic Herniation Following Hepatic Radiofrequency Ablation: A Case Report

Yamamoto¹,

Sugiura²,

Okamura³

et al. 2017

J Clin Case Rep

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Traumatic diaphragmatic hernia-our experience

Abstract: 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.

Cited by 38 publications

References 13 publications

Thoracotomy compared to laparotomy in the traumatic diaphragmatic hernia. Systematic review and proportional methanalysis

Thoracotomy compared to laparotomy in the traumatic diaphragmatic hernia. Systematic review and proportional methanalysis

Thoracotomy for Traumatic Diaphragmatic Hernia

Laparoscopic Repair of Diaphragmatic Perforation with Colonic Herniation Following Hepatic Radiofrequency Ablation: A Case Report

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