Traumatic diaphragmatic injuries.

Abstract:

:Although numerous articles have been written over the past two decades with regard to the treatment of traumatic diaphragmatic hernia, little has actually changed during that time. The ability to make the diagnosis has somewhat improved because of the technologic advances in CT; however, it remains true that the best tool to guide the clinician toward the appropriate diagnosis is a high index of suspicion in patients with blunt or appropriate penetrating trauma. Although laparoscopic or thoracoscopic management of such patients may become prevalent with increasing experience, at present the open approach and simple repair remain the mainstays of management. The patient's survival still depends more on the severity of concomitant nondiaphragmatic injuries and in many cases the diaphragmatic laceration is the least worrisome and least morbid of the patient's injuries. Operative repair results in a good outcome in most patients in the absence of other serious injuries.

journal_name

Thorac Surg Clin

journal_title

Thoracic surgery clinics

authors

Scharff JR,Naunheim KS

doi

10.1016/j.thorsurg.2007.03.006

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

81-5

issue

1

eissn

1547-4127

issn

1558-5069

pii

S1547-4127(07)00016-3

journal_volume

17

pub_type

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