Related Experiment Video
Updated: Jun 16, 2026
06:31
Transuterine Fetal Tracheal Occlusion Model in Mice
Published on: February 5, 2021
Chronic traumatic diaphragmatic hernia
1Division of Thoracic Surgery, Swedish Medical Center, Suite 850, 1101 Madison Street, Seattle, WA 98104, USA.
Thoracic Surgery Clinics
|February 2, 2010
Summary
Chronic traumatic diaphragmatic hernia (TDH) is a rare condition requiring prompt diagnosis and surgical repair. Early detection and intervention are crucial to prevent severe complications and improve patient outcomes.
Area of Science:
- Medical Imaging
- Surgical Repair
- Trauma Surgery
Background:
- Chronic traumatic diaphragmatic hernia (TDH) is an infrequent but serious condition.
- It presents with varied mechanisms of injury, timing, defect size, and herniated tissue.
- Significant morbidity and mortality are associated with this diagnosis.
Purpose of the Study:
- To outline the diagnostic and management strategies for chronic TDH.
- To emphasize the importance of early diagnosis and surgical intervention.
- To discuss preferred surgical approaches and repair principles.
Main Methods:
- Diagnosis relies on multiplanar CT scans with coronal, sagittal, and axial reconstructions.
- Surgical repair is indicated upon diagnosis.
- Both transabdominal and transthoracic approaches are discussed, with a preference for the open transthoracic approach.
Main Results:
- Multiplanar CT is highly effective for diagnosing chronic TDH.
- Surgical repair, often requiring tension-free techniques and prosthetics, is essential.
- Minimally invasive techniques are increasingly being adopted for TDH repair.
Conclusions:
- Early diagnosis and repair of chronic TDH are vital to prevent catastrophic complications.
- Surgical approaches may require combined abdominal and thoracic access.
- Vigilance in diagnosing latent TDH can avert obstructive complications and reduce mortality.
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...
01:25Chronic Pancreatitis I: Introduction
Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...
01:24Chronic Pancreatitis I: Introduction
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
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:
01:08Pneumothorax 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...