Related Experiment Video
Updated: Jun 21, 2026
12:27
Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
[Diaphragmatic rupture with intrathoracic hepatic dislocation. Two case report]
U Robustelli1, G Noschese, M F Armellino
1U.O.C. Trauma Center, A.O.R.N. A Cardarelli Hospital, Napoli, Italy.
Il Giornale Di Chirurgia
|July 8, 2009
Summary
This study presents two cases of diaphragmatic rupture from blunt trauma, where the liver moved into the chest. Surgical repair via laparotomy successfully treated the rupture and associated injuries without prosthetic materials.
Area of Science:
- Trauma Surgery
- Thoracic Surgery
- Abdominal Surgery
Background:
- Diaphragmatic rupture is a severe injury often resulting from blunt or penetrating trauma.
- Intra-thoracic liver dislocation is a rare but critical complication of diaphragmatic rupture.
- Accurate preoperative diagnosis is crucial for effective management.
Observation:
- Two cases of diaphragmatic rupture with intra-thoracic liver dislocation following blunt trauma are presented.
- Computed Tomography (CT) scans were utilized for preoperative diagnosis.
- Surgical intervention involved laparotomy (central for one patient, bilateral subcostal for the other).
Findings:
- Direct repair of the diaphragmatic defect was achieved in both cases.
- Associated injuries were managed concurrently during surgery.
- Non-absorbable, interrupted sutures were used for diaphragmatic reconstruction, with no prosthetic material employed.
Implications:
- Laparotomy is advocated as the optimal surgical approach for diaphragmatic rupture, facilitating repair and management of concomitant injuries.
- The study highlights the efficacy of direct suture repair for diaphragmatic defects, even in cases involving significant organ displacement.
- Experience suggests that non-absorbable sutures are reliable for reconstructing diaphragmatic defects, with variations in technique (interrupted vs. continuous) based on lesion severity.
More Related Videos
Related Concept Videos
01:25Hiatal Hernia
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
01:08Pneumothorax II: Pathophysiology
Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance between...
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
01:26Pneumothorax-I
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
01:27Pneumothorax-II
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History: