Traumatic rupture of the right diaphragm

Autor:	Marie-Dominique Destable, F. Gigou, B. Tremblay, J. M. Thillois, E. Cerceau, B. Dehaye, Jacques F. Azorin
Rok vydání:	1998
Předmět:	Thorax medicine.medical_specialty medicine.diagnostic_test business.industry Abdominal ultrasound Diaphragmatic breathing Diaphragm (structural system) Surgery Radiological weapon Thoracoscopy Medicine business Abdominal surgery
Zdroj:	Hernia. 2:119-121
ISSN:	1248-9204 1265-4906
DOI:	10.1007/bf01250026
Popis:	The diagnosis and management of diaphragmatic injuries still presents a problem. In a recently published series the proportion of these injuries which is initially overlooked remains at between 20 and 40%, and the post-operative mortality at 21%. Based on two personal cases of rupture of the right diaphragm and on an analysis of published series, we endeavour to lay down some guidelines for the diagnosis and treatment of this injury. Appropriate radiological investigations include chest x-ray (which should be repeated), abdominal ultrasound and thoraco-abdominal tomodensitometry. The treatment is surgical. The preferred route of access in the elective case is via the thorax, but in emergency, in the absence of a pre-operative diagnosis, an abdominal route may be indicated.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::30bda1660ca37d57f3e76ce5c6551c35 https://doi.org/10.1007/bf01250026 Zobrazit plný text záznamu Full text from SpringerLink