Diaphragmatic Injuries: A Surgical Challenge. Report of Forty-one Cases

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dc.contributor.authorÖzpolat, Berkant
dc.contributor.authorKaya, Oskay
dc.contributor.authorYazkan, Rasih
dc.contributor.authorOsmanoğlu, Gökhan
dc.date.accessioned2020-06-25T17:48:18Z
dc.date.available2020-06-25T17:48:18Z
dc.date.issued2009
dc.departmentKırıkkale Üniversitesi
dc.descriptionKaya, Ismail Oskay/0000-0002-1864-896X; Ozpolat, Berkant/0000-0002-6203-7306; KAYA, ISMAILOSKAY/0000-0002-1864-896X
dc.description.abstractBackground: 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.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1055/s-0029-1185579
dc.identifier.endpage362en_US
dc.identifier.issn0171-6425
dc.identifier.issue6en_US
dc.identifier.pmid19707979
dc.identifier.scopus2-s2.0-70350508314
dc.identifier.scopusqualityQ2
dc.identifier.startpage358en_US
dc.identifier.urihttps://doi.org/10.1055/s-0029-1185579
dc.identifier.urihttps://hdl.handle.net/20.500.12587/4398
dc.identifier.volume57en_US
dc.identifier.wosWOS:000270507400009
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofThoracic And Cardiovascular Surgeon
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectthoracic surgeryen_US
dc.subjectdiaphragmatic injuryen_US
dc.subjecturgent surgeryen_US
dc.titleDiaphragmatic Injuries: A Surgical Challenge. Report of Forty-one Casesen_US
dc.typeArticle

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