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A Journal on Surgery

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Chirurgia 2006 October;19(5):341-4

language: Italian

Post-traumatic diaphragmatic hernia

Lo Storto G., Cinquesanti L., Ulivieri M., Di Millo M., Montini F., Di Corcia M., Melino R., Di Gioia G., Tricarico F.

Azienda Ospedaliera-Universitaria “Ospedale Riuniti “ di Foggia Struttura Complessa di Chirurgia Generale II ad Indirizzo d’Urgenza, Foggia


Aim. With references to the Leterature and own personal experience the Authors suggest same epidemiologic, etiopatogenetic, diagnostic and therapeutic consideration on this subject.
Methods. Ours experience includes 8 blunt trauma for the period of 2000 to 2005 (7 monolaterals ruptures of the left hemidiaphragm and 1 bilateral rupture). We have found out acute visceral hernia in 5 cases; in 3 cases patients developed visceral hernia after 30 days, 10 years and 16 years respectively. 6 patient presented associated visceral, cranio-encephalic and skeleton lesions.
Results. The operation was laparotomic in 7 cases and thoraco-abdominal in 1 cases; only 1 patient died after surgery.
Conclusion. Post-traumatic diaphragmatic rupture is considered a predictors of serius associated injuries, laparotomy rappresents a good surgical approach to control acute as well as no acute visceral hernia after diaphragmatic rupture.

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