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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...
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...
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:
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...

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Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
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Published on: December 22, 2023

Traumatic diaphragmatic hernia.

Sanjiv Bhatia1, Robin Kaushik, Rajdeep Singh

  • 1Department of Surgery, Government Medical College and Hospital, Sector 32, Chandigarh, 160 030 India.

The Indian Journal of Surgery
|November 8, 2012
PubMed
Summary
This summary is machine-generated.

Traumatic diaphragmatic injuries are often missed in abdominal trauma cases. Early diagnosis via chest X-ray and surgical repair with non-absorbable sutures yield good outcomes.

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Area of Science:

  • Trauma Surgery
  • Thoracic Surgery
  • Abdominal Surgery

Background:

  • Traumatic injuries to the diaphragm are frequently overlooked in patients with abdominal trauma.
  • Prompt recognition is crucial for effective management and improved patient outcomes.

Purpose of the Study:

  • To analyze the presentation, injury patterns, surgical interventions, and outcomes of traumatic diaphragmatic injuries.
  • To highlight the importance of considering diaphragmatic injury in abdominal trauma patients.

Main Methods:

  • Retrospective review of case files for patients with traumatic diaphragmatic injury.
  • Analysis included patient demographics, injury mechanisms, diagnostic methods, surgical procedures, and outcomes.

Main Results:

  • 14 patients (12 male, 2 female; average age 31.5 years) were identified.
  • Road traffic accidents were the primary cause (12 patients).
  • Left diaphragmatic injuries and herniation of abdominal viscera (commonly stomach) were frequent; 4 patients presented late with intestinal obstruction.

Conclusions:

  • Traumatic diaphragmatic injury should be suspected in all abdominal trauma cases.
  • Chest X-ray is a valuable diagnostic tool.
  • Surgical repair using simple suturing with non-absorbable sutures is effective.