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, Ind...
| Main Authors: | , , , |
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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://www.beat-journal.com/BEATJournal/index.php/BEAT/article/view/36/97 |
| _version_ | 1828492397144702976 |
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| author | Mushtaq Ahmed Chowdhary Hafzulla lone Farooq Ahmad Ganie Ghulam Nabi Lone |
| author_facet | Mushtaq Ahmed Chowdhary Hafzulla lone Farooq Ahmad Ganie Ghulam Nabi Lone |
| author_sort | Mushtaq Ahmed Chowdhary |
| 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 November2011. 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 | 2024-12-11T11:19:39Z |
| format | Article |
| id | doaj.art-a52bca5d94ab4c87aa080d47bbc9df16 |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-12-11T11:19:39Z |
| publishDate | 2013-07-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-a52bca5d94ab4c87aa080d47bbc9df162022-12-22T01:09:13ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602013-07-0113108111The Characteristics and Surgical Approach in Post-Traumatic Diaphragmatic Hernia: A Single Center ExperienceMushtaq Ahmed ChowdharyHafzulla loneFarooq Ahmad GanieGhulam Nabi LoneObjectives: 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 November2011. 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://www.beat-journal.com/BEATJournal/index.php/BEAT/article/view/36/97Post traumatic diaphragmatic herniaSurgical approachThoracotomy |
| spellingShingle | Mushtaq Ahmed Chowdhary Hafzulla lone Farooq Ahmad Ganie Ghulam Nabi 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://www.beat-journal.com/BEATJournal/index.php/BEAT/article/view/36/97 |
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