Traumatic diaphragmatic rupture in children

Okur, Mehmet Hanifi; Uygun, İbrahim; Arslan, Mehmet; Aydogdu, Bahattin; Türkoğlu, Ahmet; Göya, Cemil; İçen, Mustafa; Çığdem, Murat Kemal; Önen, Abdurrahman; Otcu, Selçuk

doi:10.1016/j.jpedsurg.2013.11.056

Cited by 30 publications

(31 citation statements)

References 17 publications

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“…2018;33(1): [49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66] of the included studies reported the need to open the second cavity, so when opting for the thoracic approach, the need for abdominal cavity opening appears to have been greater than when the option was for the abdominal approach, but due to the small number of cases where it was possible to collect these data, the confidence interval was very wide, making this difference not significant. Perhaps if more studies had shown this data we could have found significant difference.…”

Section: ■ Discussionmentioning

confidence: 99%

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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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Section: ■ Discussionmentioning

confidence: 99%

“…2018;33(1): [49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66] 4-The most used approach in the chronic phase.…”

Section: ■ Introductionmentioning

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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“…Posterior-anterior chest radiography, ultrasound, CT, and diagnostic laparoscopy are used for the detection of diaphragmatic injury. Of all, laparoscopy has the highest diagnostic value; it can also be used in the treatment [19,20]. Shah et al [21] reported that diaphragm injury could be diagnosed preoperatively in only 43.4% of cases.…”

Section: Discussionmentioning

confidence: 99%

Non-Operative Management of Thoracoabdominal Gunshot Injury: Thirteen Unusual Cases

et al. 2015

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13] Trae aparejada una tasa de mortalidad no despreciable, que oscila entre el 6% y el 40% de los casos registrados. 4,5,9 Debido a. Radiografía de tórax al momento del ingreso.…”

Section: Discusión Y Conclusionesunclassified

“…Se presenta en forma infrecuente, con una incidencia que varía entre menos del 1% y el 8% de los traumatismos cerrados en las distintas series. [1][2][3][4][5][6][7][8][9][10][11][12][13] Solo entre el 25% y el 50% de los casos es detectado en la evaluación inicial del paciente, lo que aumenta el riesgo de complicaciones asociadas, tales como la oclusión intestinal o la perforación de víscera hueca, con consecuencias significativas en la evolución del paciente y alta tasa de mortalidad, que puede ascender hasta el 40%. 4,5,9 Dado que, en la mayor parte de los casos, el mecanismo causal es un traumatismo toracoabdominal de alto impacto, otras lesiones asociadas acompañan esta entidad casi en la totalidad de los casos.…”

Section: Introductionunclassified

Ruptura diafragmática postraumática en pediatría. A propósito de un caso

Lerendegui

Gauto

Esnaola

et al. 2018

Arch Argent Pediatr

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Arch Argent Pediatr 2018;116(2):e292-e295 / e292Presentación de casos clínicos RESUMEN La ruptura diafragmática es una entidad relativamente infrecuente en pediatría que se puede presentar como consecuencia de un traumatismo de alto impacto. Solo entre el 25% y el 50% de los casos es detectado en la evaluación inicial del paciente, lo que aumenta el riesgo de complicaciones. En este trabajo, se presenta el caso de una paciente asintomática, de 8 años de edad, que, tras un accidente vehicular y la evaluación inicial en otro centro, fue derivada a nuestra Institución para el control evolutivo. A las 36 horas del ingreso, presentó hipoventilación pulmonar izquierda. La tomografía demostró un ascenso intratorácico del ángulo esplénico del colon y asas de intestino delgado. Se efectuó la exploración y el tratamiento quirúrgico. Los controles radiográficos diferidos no mostraron signos de recidiva. Palabras clave: ruptura diafragmática, traumatismo múltiple, hernia diafragmática, pediatría.ABSTRACT Diaphragmatic rupture is a relatively uncommon entity in pediatrics that can occur as a result of a high-impact trauma. Only between 25 and 50% of the cases are detected in the initial evaluation of the patient, which increases the risk of complications. This paper presents the case of an asymptomatic 8-year-old patient who was referred to our institution after a vehicular accident. A day and a half after admission, a left pulmonary hypoventilation was detected. Computed tomography scan showed intrathoracic elevation of the splenic angle of the colon and the small bowel. Surgical exploration and treatment were performed. Deferred radiographic controls showed no signs of relapse.

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Traumatic diaphragmatic rupture in children

Cited by 30 publications

References 17 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

Non-Operative Management of Thoracoabdominal Gunshot Injury: Thirteen Unusual Cases

Ruptura diafragmática postraumática en pediatría. A propósito de un caso

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