The Characteristics and Surgical Approach in Post-Traumatic Diaphragmatic Hernia: A Single Center Experience
Objectives: The aim of this study was to evaluate the surgical approach in post traumatic diaphragmatic hernia.Methods: This prospective cross-sectional study was conducted in the Department of cardiovascular and thoracic surgery, Sher-i- Kashmir Institute of Medical Sciences (SKIMS), Kashmir, India...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2013-07-01
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| Series: | Bulletin of Emergency and Trauma |
| Subjects: | |
| Online Access: | http://beat.sums.ac.ir/article_44218_0b4133ba14b6a2a0b25efbbc6e3ce2d9.pdf |
| _version_ | 1811233559550099456 |
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| author | Farooq Ahmad Ganie Ghulam Nabi Lone Mushtaq Ahmed Chowdhary Hafzulla lone |
| author_facet | Farooq Ahmad Ganie Ghulam Nabi Lone Mushtaq Ahmed Chowdhary Hafzulla lone |
| author_sort | Farooq Ahmad Ganie |
| collection | DOAJ |
| description | Objectives: The aim of this study was to evaluate the surgical approach in post traumatic diaphragmatic hernia.Methods: This prospective cross-sectional study was conducted in the Department of cardiovascular and thoracic surgery, Sher-i- Kashmir Institute of Medical Sciences (SKIMS), Kashmir, India. We included all patients with post traumatic diaphragmatic hernia undergoing operation in our center from May 2009 to November 2011. A detailed history was taken for each patient along with comprehensive general, physical, systemic and local examination of all cases. Operative findings included associated intra-abdominal injuries, and herniated intra-abdominal organs. Post-operative complications, mortality and survival were recorded and reported.Results: The mean age of the patients was 32±1 years and there were 16 (76.1%) men and 5 (23.8%) women among the patients. Thoracotomy was performed in 14 patients (66.7%), laparotomy in 6 patients (28.6%) and combined procedure was used in 1 patient (4.7%). The reduction of hernia contents with repair of diaphragmatic rent was done in 11 (52.2%) of the patients and splenectomy with repair of rent in 6 (28.6%). Traumatic diaphragmatic hernia had 81.8% survival rate, no pre-operative mortality and 14.3% post operative mortality rate.Conclusion: Thoracotomy is the most common approach in post traumatic diaphragmatic hernia. Laparotomy is preferred in patients having acute trauma with associated intra-abdominal injuries. |
| first_indexed | 2024-04-12T11:21:51Z |
| format | Article |
| id | doaj.art-14b26361ed1045eda7c45fee4d6636e8 |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-04-12T11:21:51Z |
| publishDate | 2013-07-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-14b26361ed1045eda7c45fee4d6636e82022-12-22T03:35:20ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602013-07-011Issue 310811144218The Characteristics and Surgical Approach in Post-Traumatic Diaphragmatic Hernia: A Single Center ExperienceFarooq Ahmad Ganie0Ghulam Nabi Lone1Mushtaq Ahmed Chowdhary2Hafzulla lone3Department of Cardiovascular and Thoracic Surgery, Soura, Srinagar, Kashmir, 190011, India.Department of Cardiovascular and Thoracic Surgery, Soura, Srinagar, Kashmir, 190011, India.Department of Cardiovascular and Thoracic Surgery, Soura, Srinagar, Kashmir, 190011, India.Department of Cardiovascular and Thoracic Surgery, Soura, Srinagar, Kashmir, 190011, India.Objectives: The aim of this study was to evaluate the surgical approach in post traumatic diaphragmatic hernia.Methods: This prospective cross-sectional study was conducted in the Department of cardiovascular and thoracic surgery, Sher-i- Kashmir Institute of Medical Sciences (SKIMS), Kashmir, India. We included all patients with post traumatic diaphragmatic hernia undergoing operation in our center from May 2009 to November 2011. A detailed history was taken for each patient along with comprehensive general, physical, systemic and local examination of all cases. Operative findings included associated intra-abdominal injuries, and herniated intra-abdominal organs. Post-operative complications, mortality and survival were recorded and reported.Results: The mean age of the patients was 32±1 years and there were 16 (76.1%) men and 5 (23.8%) women among the patients. Thoracotomy was performed in 14 patients (66.7%), laparotomy in 6 patients (28.6%) and combined procedure was used in 1 patient (4.7%). The reduction of hernia contents with repair of diaphragmatic rent was done in 11 (52.2%) of the patients and splenectomy with repair of rent in 6 (28.6%). Traumatic diaphragmatic hernia had 81.8% survival rate, no pre-operative mortality and 14.3% post operative mortality rate.Conclusion: Thoracotomy is the most common approach in post traumatic diaphragmatic hernia. Laparotomy is preferred in patients having acute trauma with associated intra-abdominal injuries.http://beat.sums.ac.ir/article_44218_0b4133ba14b6a2a0b25efbbc6e3ce2d9.pdfPost traumatic diaphragmatic herniaSurgical approachThoracotomy |
| spellingShingle | Farooq Ahmad Ganie Ghulam Nabi Lone Mushtaq Ahmed Chowdhary Hafzulla lone The Characteristics and Surgical Approach in Post-Traumatic Diaphragmatic Hernia: A Single Center Experience Bulletin of Emergency and Trauma Post traumatic diaphragmatic hernia Surgical approach Thoracotomy |
| title | The Characteristics and Surgical Approach in Post-Traumatic Diaphragmatic Hernia: A Single Center Experience |
| title_full | The Characteristics and Surgical Approach in Post-Traumatic Diaphragmatic Hernia: A Single Center Experience |
| title_fullStr | The Characteristics and Surgical Approach in Post-Traumatic Diaphragmatic Hernia: A Single Center Experience |
| title_full_unstemmed | The Characteristics and Surgical Approach in Post-Traumatic Diaphragmatic Hernia: A Single Center Experience |
| title_short | The Characteristics and Surgical Approach in Post-Traumatic Diaphragmatic Hernia: A Single Center Experience |
| title_sort | characteristics and surgical approach in post traumatic diaphragmatic hernia a single center experience |
| topic | Post traumatic diaphragmatic hernia Surgical approach Thoracotomy |
| url | http://beat.sums.ac.ir/article_44218_0b4133ba14b6a2a0b25efbbc6e3ce2d9.pdf |
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