Blunt and Penetrating Traumatic Ruptures of the Diaphragm
| Autor: | Murat Sezer, Özlem Solak, Hidir Esme, Sahin Da |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Thorax medicine.medical_specialty Rib Fractures Thoracic Injuries Turkey Diaphragm Wounds Penetrating Abdominal Injuries Wounds Stab Wounds Nonpenetrating Pelvis Postoperative Complications Blunt Risk Factors medicine Craniocerebral Trauma Humans Aged Retrospective Studies Hemothorax Rupture Diaphragmatic rupture Multiple Trauma business.industry Accidents Traffic Retrospective cohort study Middle Aged medicine.disease Hernia Abdominal Surgery Diaphragm (structural system) Gastrointestinal Tract medicine.anatomical_structure Liver Blunt trauma Abdomen Accidental Falls Female Cardiology and Cardiovascular Medicine business Spleen |
| Zdroj: | The Thoracic and Cardiovascular Surgeon. 54:324-327 |
| ISSN: | 1439-1902 0171-6425 |
| DOI: | 10.1055/s-2006-923892 |
| Popis: | BACKGROUND: The difficulties in diagnosing traumatic diaphragmatic rupture (TDR) at the first admission are the most common causes of morbidity and mortality. The purpose of this study was to review our experience with the management of TDR in order to identify the factors contributing to diagnostic delay and associated morbidity and mortality. METHODS: Fourteen patients with TDR were treated in our hospital between January 2000 and June 2005. They have been investigated retrospectively. RESULTS: The study identified 9 men (64 %) and 5 women (36 %), with ages ranging from 19 to 65 years (mean 35.3 years). Rupture of the diaphragm was left-sided in 10 (71 %) and right-sided in 4 (29 %) of the patients. Blunt trauma accounted for the injuries of 11 patients (79 %). Early diagnosis was obtained in 9 patients (64 %). The diagnosis was established preoperatively in 8 patients (57 %), and intraoperatively in 4 (29 %). The diagnosis was missed in 2 (14 %) patients in the first operation. Multiple associated injuries were observed in 12 patients (85 %). Postoperative complications were encountered in five patients (35 %), and the overall mortality was 7 %. CONCLUSIONS: Diaphragmatic rupture should be suspected in all blunt or penetrating traumas of the thorax and abdomen, and the presence of such an injury should be excluded before terminating the exploratory procedure. |
| Databáze: | OpenAIRE |
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