Diaphragmatic Injuries: A Surgical Challenge. Report of Forty-one Cases
Yükleniyor...
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Georg Thieme Verlag Kg
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background: We present a discussion of the management of diaphragmatic injury and the factors that influence the choice of surgical approach based on our experience and a review of the literature. Methods: Data of 41 patients with diaphragmatic injuries treated between 1996 and 2007 were analyzed retrospectively. Results: A total of 29 men and 12 women between 15 and 56 years of age (mean age 34) were included in the study. Twenty-one patients had penetrating injuries and 20 patients had blunt injuries. The diagnosis was done preoperatively in 21 cases and intraoperatively in 20 cases. Thoracotomy was used in 23 cases, laparotomy in 11 cases, laparotomy-thoracotomy in 5 cases, sternotomy-laparotomy in 1 case, and sternotomy in 1 case. Emergency surgery was performed in 30 cases. Five cases were operated within 24 hours after admission to the emergency department. In 6 cases, surgery was performed 6 months to 4 years after the initial trauma. The mortality rate was 14.6% and the operative morbidity was 2.4%. Conclusion: A high index of suspect is vital for the diagnosis of diaphragmatic injuries in an emergency setting. The type of approach is closely related to the associated injuries.
Açıklama
Kaya, Ismail Oskay/0000-0002-1864-896X; Ozpolat, Berkant/0000-0002-6203-7306; KAYA, ISMAILOSKAY/0000-0002-1864-896X
Anahtar Kelimeler
thoracic surgery, diaphragmatic injury, urgent surgery
Kaynak
Thoracic And Cardiovascular Surgeon
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
57
Sayı
6
Künye
closedAccess
