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Related Concept Videos

Hiatal Hernia01:25

Hiatal 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...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal 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.
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Pneumothorax-II01:27

Pneumothorax-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:
Flail Chest-II01:26

Flail 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:
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History:
Pneumothorax-I01:26

Pneumothorax-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 II: Pathophysiology01:08

Pneumothorax 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...

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Updated: May 27, 2026

Transuterine Fetal Tracheal Occlusion Model in Mice
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Transuterine Fetal Tracheal Occlusion Model in Mice

Published on: February 5, 2021

Delayed presentation of posttraumatic diaphragmatic hernia.

Ismail Okan1, Gürhan Baş, Sedat Ziyade

  • 1Department of General Surgery, Gaziosmanpaşa University, Faculty of Medicine, Tokat, Turkey. hismailok@yahoo.com

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|November 18, 2011
PubMed
Summary

Delayed diaphragmatic hernias after trauma pose a surgical challenge. Early diagnosis and repair of these posttraumatic diaphragmatic hernias are crucial to prevent severe complications and mortality.

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Area of Science:

  • Trauma Surgery
  • Thoracic Surgery
  • Surgical Outcomes

Background:

  • Missed diaphragmatic injuries can lead to delayed presentation of diaphragmatic hernias.
  • Intra-abdominal organs may herniate into the thoracic cavity, complicating trauma cases.

Purpose of the Study:

  • To review patients with delayed posttraumatic diaphragmatic hernia.
  • To analyze the presentation, diagnosis, and management of these hernias.

Main Methods:

  • Retrospective review of medical records from 2001-2009.
  • Inclusion of patients with delayed diagnosis of posttraumatic diaphragmatic hernia.
  • Analysis of imaging, surgical approach, and outcomes.

Main Results:

  • Ten patients (mean age 44.3 years) were included, with blunt trauma being most common.
  • Mean delay from trauma to presentation was 5.9 years; most hernias were left-sided.
  • Chest X-ray was diagnostic in most cases; CT and MR imaging were used adjunctively. Laparotomy was the preferred surgical approach, with mesh repair in most cases. Mean hospitalization was 10.6 days with low morbidity and no mortality.

Conclusions:

  • Delayed posttraumatic diaphragmatic hernia presents a significant challenge in trauma surgery.
  • Prompt diagnosis and surgical intervention are essential to avoid life-threatening complications like organ strangulation.