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[Post-traumatic hernia of the diaphragm]
A Oliaro1, C Casadio, P L Filosso
1Cattedra di Chirurgia Toracica, Università degli Studi di Torino.
Minerva Chirurgica
|June 15, 1993
Summary
This study reviewed 77 cases of post-traumatic diaphragmatic hernias, finding the stomach most commonly herniated. Surgical approaches evolved from thoracotomy to laparotomy for early hernias.
Area of Science:
- Trauma Surgery
- Thoracic Surgery
- Gastrointestinal Surgery
Context:
- Post-traumatic diaphragmatic hernias are rare but serious injuries.
- This study analyzes a significant series spanning nearly four decades (1954-1992).
Purpose:
- To report on the characteristics and management of post-traumatic diaphragmatic hernias.
- To describe trends in surgical approaches over time.
Summary:
- The series included 77 patients (59 male, 18 female) aged 6-75 years.
- Left-sided diaphragmatic lesions (60 cases) were most common, followed by right-sided (9) and bilateral (8).
- Stomach, transverse colon, and spleen were the most frequent herniated organs. Surgical access shifted from thoracotomy to laparotomy for early hernias, while thoracotomy remained for chronic cases or suspected intrathoracic injury.
Impact:
- Highlights the evolution of surgical techniques for diaphragmatic trauma.
- Provides valuable data on organ herniation patterns in traumatic diaphragmatic injuries.
- Informs surgical decision-making for managing acute and chronic post-traumatic diaphragmatic hernias.