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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


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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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