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Laparoscopic reduction and repair of acute traumatic diaphragmatic hernia:A video review
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作者 Adeel Ahmed Shamim Muhammad Maaz Zuberi +1 位作者 Daniel Tran Terrance Fullum 《Laparoscopic, Endoscopic and Robotic Surgery》 2020年第1期22-25,共4页
Traumatic diaphragmatic hernia is one of the sequela of thoraco-abdominal injury,occurring in about 0.5%-5% of patients presenting post major trauma.Motor vehicle collision is the leading blunt trauma etiology.A high ... Traumatic diaphragmatic hernia is one of the sequela of thoraco-abdominal injury,occurring in about 0.5%-5% of patients presenting post major trauma.Motor vehicle collision is the leading blunt trauma etiology.A high level of suspicion is essential to discover such injuries,as a majority of the patients can be asymptomatic.A case of a successful trans-abdominal laparoscopic reduction and repair of a large acute traumatic diaphragmatic hernia is presented as a video demonstration.We were able to evacuate all intrathoracic air,obliviating the need for a chest tube.Post operatively the patient did well with no complications.If expertise is available,laparoscopic intervention is a feasible option even for large traumatic diaphragmatic hernia preventing the need for a large midline laparotomy incision. 展开更多
关键词 LAPAROSCOPY DIAPHRAGM traumatic diaphragmatic hernia hernia Thoracoabdominal trauma VIDEO
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Post-Traumatic Right Diaphragmatic Hernia with Hepatothorax
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作者 Elias Amorim Frederico Berniz Aragao +1 位作者 Armando Veiga Alexandre Porto Galdez 《Open Journal of Thoracic Surgery》 2018年第1期1-5,共5页
Introduction: Traumatic right diaphragmatic hernia is an extremely rare entity, given the protection afforded by the liver. Clinical Case: A 51-year-old women who suffered a road-traffic accident presented with a heav... Introduction: Traumatic right diaphragmatic hernia is an extremely rare entity, given the protection afforded by the liver. Clinical Case: A 51-year-old women who suffered a road-traffic accident presented with a heavy sensation and several episodes of moderate pain in the left hemithorax. Physical and radiological exams revealed a traumatic right hernia. Discussion: The diagnosis of hernia should be established as quickly as possible to reduce morbidity and mortality. Treatment of the injury is always surgical and outcome is invariably positive. Conclusion: The diagnosis of diaphragmatic hernia should always be considered in patients suffering road-traffic accidents to allow early diagnosis and successful treatment. 展开更多
关键词 traumatic diaphragmatic hernia Thoracic Surgery TRAUMATOLOGY Hepatothorax
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Review of traumatic diaphragmatic hernia associated with pelvis fractures 被引量:1
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作者 吴斗 刘强 韩树峰 《Chinese Journal of Traumatology》 CAS 2006年第2期125-128,共4页
Objective: To review the epidemiological feature, clinical and diagnostic data of post-traumatic diaphragmatic hernia (TDH) associated with pelvis fracture reported in recent 10 years. Methods : A 10-year retrosp... Objective: To review the epidemiological feature, clinical and diagnostic data of post-traumatic diaphragmatic hernia (TDH) associated with pelvis fracture reported in recent 10 years. Methods : A 10-year retrospective study was undertaken to analyze the incidence, diagnosis, management, morbidity and mortality of patients with traumatic diaphragmatic hernia associated with pelvis fractures. A total of 46 cases in our country were reviewed. Results: The incidence of TDH associated with pelvis fractures was relatively rare and the diagnosis was often delayed or missed. A total of 72.34 % of these patients were diagnosed as TDH associated with pelvis fractures after injury for 36 hours to 1 week. Although the trans-thorax approach was preferred for surgical closure in the acute phase, its mortality still reached 8.51%. Conclusions: TDH associated with pelvis fractures is difficult to be diagnosed because of its varied clinical and radiological signs and the patients may not present with symptoms for a long time after injury. In clinical, a high index of suspicion with appropriate examination is the mainstay of management, which can be helpful in prognosis. 展开更多
关键词 Magnetic resonance imaging PELVIS hernia diaphragmatic traumatic
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