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[Diaphragmatic traumas. Personal experience].

Antonino Buffone1, Guido Basile, Silvana Leanza

  • 1Università degli Studi di Catania, Dipartimento di Chirurgia, Sezione di Chirurgia d'Urgenza, Catania. a.buffone@unict.it

Annali Italiani Di Chirurgia
|March 10, 2007
PubMed
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Diaphragmatic injuries from trauma are uncommon but can be missed in critical patients. Prompt diagnosis of diaphragmatic rupture is crucial to reduce mortality.

Area of Science:

  • Trauma Surgery
  • Thoracic Surgery
  • Abdominal Surgery

Context:

  • Diaphragmatic injuries are rare complications of thoracic and abdominal trauma.
  • The left postero-lateral region is the most common site for diaphragmatic injury.
  • These injuries often occur secondary to blunt force trauma.

Purpose:

  • To review diaphragmatic injuries in all their aspects.
  • To present personal experience with diaphragmatic trauma cases.
  • To highlight diagnostic challenges and outcomes.

Summary:

  • A review of 5 diaphragmatic injuries (3.7%) from 280 thoraco-abdominal trauma cases (2002-2004).
  • Most injuries resulted from blunt trauma; diagnosis was challenging in unstable patients, often requiring emergency laparotomy.

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  • Mortality was influenced by the time to diagnosis, with 2 deaths in the study cohort.

    • Impact:

    • Emphasizes the potential for missed diaphragmatic ruptures in acute trauma due to patient instability.
    • Underscores the critical importance of timely diagnosis for improving patient outcomes.
    • Highlights the need for vigilance in evaluating thoraco-abdominal trauma patients for diaphragmatic involvement.