Diaphragmatic Injury: Condition be noticed in the management of thoracic trauma
| Autor: | Atalay Şahin, Refik Ülkü, Ahmet Sizlanan, İsmail Başyiğit, Serdar Monis, Fatih Meteroğlu, Menduh Oruç, Serdar Onat |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Thorax medicine.medical_specialty Adolescent Thoracic Injuries Turkey medicine.medical_treatment Diaphragm Diaphragmatic breathing Wounds Penetrating Abdominal Injuries Wounds Nonpenetrating Young Adult Blunt Laparotomy Thoracoscopy Humans Medicine Thoracotomy Child Aged medicine.diagnostic_test business.industry Middle Aged medicine.disease Surgery Anesthesiology and Pain Medicine Blunt trauma Child Preschool Emergency Medicine Female business Penetrating trauma |
| Zdroj: | Turkish Journal of Trauma and Emergency Surgery. |
| ISSN: | 1306-696X |
| DOI: | 10.5505/tjtes.2015.30660 |
| Popis: | BACKGROUND The aim of the present study was to emphasize diaphragmatic injuries that can be overlooked in chest traumas. METHODS Between January 2000 and June 2013, fifty-three patients with traumatic diaphragmatic laceration were evaluted among 1349 patients who had chest injuries. Patients were examined regarding age, gender, associated injuries, surgical interventions, postoperative morbidity, mortality and length of hospital stays. RESULTS Of them, fifty-three cases had diaphragmatic lacerations. There were forty-eight male and five female patients, with a mean age of 31.06 (4-60) years and 35.80 (18-50) years. Thoracotomy in 66%, laparotomy in 20.75% and laparotomy+thoracotomy in 13.20% of the cases were performed. Video-assisted thoracoscopy was carried out in 15.09% of the patients. Diaphragm was repaired on the left in thirty-one cases and in the right in twenty-two cases. Pulmonary complications like morbidity was mostly seen in 37.73% of blunt trauma. Mortality was seen in three cases of penetrating trauma. Mean hospital duration was 8.75 days (range, 4-15 days). Patients were followed for a mean duration of 28.13 months (range, 3-60 months). There was no significant statistical difference between types of injury, ages and gender of cases (p=0.05); whereas, morbidity rate was important in patients with blunt trauma. DISCUSSION Diaphragmatic lacerations should be kept in mind when penetrating and blunt injuries to the thorax are evaluated. |
| Databáze: | OpenAIRE |
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