Blunt diaphragmatic rupture1

Athanassiadi, Kalliopi; Kalavrouziotis, Georgios; Athanassiou, Maria; Vernikos, P.; Skrekas, G; Poultsidi, Antigoni; Bellenis, Ion

doi:10.1016/s1010-7940(99)00073-1

Cited by 108 publications

(82 citation statements)

References 20 publications

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“…Prevalence of TDI was 2.67 % in our study, more frequent in men 94.7 % than in women. It is comparable with literature that reported the incidence of TDI as 0.8-5 % of hospitalized automobile accident victims and 5 % of blunt trauma patients that undergo laparotomy [10,11]. TDI was more often due to blunt trauma 65.33 % than due to penetrating injury.…”

Section: Discussionsupporting

confidence: 86%

Traumatic Diaphragmatic Injury: A Marker of Serious Injury Challenging Trauma Surgeons

et al. 2013

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The objectives of this study are (1) to evaluate prevalence of traumatic diaphragmatic injury (TDI), (2) identify the predictors of mortality, and (3) study the accuracy of investigations in survivors of TDI. Retrospective analysis of prospectively maintained database of TDI from January 2007 to December 2011. Emergency department (ED) records, operative details, and autopsy reports were reviewed to determine injury characteristics, treatment provided, and outcome. Statistical analyses were performed using the SPSS ver.15 software. TDI was identified in 75 individuals. Thirty-two of 75 (42.6 %) cases were brought dead to the hospital, and 43/75 (57.3 %) were survivors presented to emergency department, diagnosed to have TDI intraoperatively. Seven of 43 (16.3 %) died postoperatively. Mortality in TDI was significantly related to age (p =0.001), injury severity (p <0.001), site of TDI (p =0.002), and associated injuries (p =0.021, odds ratio of 9). Death increased with increase in the number of organ injured (p <0.001, odds ratio of 12). Multi-detector computer tomography (MDCT) detected TDI in 23/26 (88.5 %) cases preoperatively. Laparotomy (p <0.001, odds ratio of 22) and thoracotomy (p =0.021, with odds ratio of 9) were associated with survival benefit when compared to minimal invasive surgery in injured cases. The prevalence of TDI was 2.67 %, TDI's mark severity of injury. Mortality increases with increasing number of organ injured. Right-sided or bilateral injury of diaphragm is associated with increased mortality.

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Section: Discussionsupporting

confidence: 86%

Traumatic Diaphragmatic Injury: A Marker of Serious Injury Challenging Trauma Surgeons

et al. 2013

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“…Mortality: there were 128 deaths, with hypovolemic shock being the most frequent cause of mortality, with 58 cases, followed by associated lesions (30), sepsis (25), traumatic brain injury (15), multiple organ failure (11), respiratory distress in the adult (8), respiratory failure (5), pulmonary thromboembolism (3), intraoperative with no cause reported (3), high volume hernia, evolving to cardiorespiratory arrest (2). Length of hospital stay: twenty-two studies report hospitalization time, but do not separate according to the approach, with 12 presenting the results ranging from a mean of seven to 29 days, and 10 presenting the range of days varying from one to 255 days.…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

Thoracotomy compared to laparotomy in the traumatic diaphragmatic hernia. Systematic review and proportional methanalysis

Silva

Catâneo

2018

Acta Cir. Bras.

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Purpose: To evaluate the most used approach to treat traumatic diaphragmatic ruptures, and in which one the requirement to assess the second cavity is more frequent. Methods: Systematic review, observational studies. Outcomes: moment of approach, most commonly via addressed and the requirement to open the other cavity. Bases searched: Lilacs, Pubmed, Embase, Clinicaltrials.gov and Web of Science. Statistical analysis: StatsDirect 3.0.121 software. Results: Sixty eight studies (2023 participants) were included. Approach in acute phase was performed four times more than in chronic phase. Approach: abdominal 65% (IC 95% 63-67%), thoracic 23% (IC 95% 21-24%), abdominal in the acute phase 75% (IC 95% 71-78%), and chronic 24% (IC 95% 19-29%), thoracic in the acute phase 12% (IC 95% 10-14%) and chronic 69% (IC 95% 63-74%). Thorax opening in the abdominal approach: 10% (95% CI 8-14%). Abdomen opening in the thoracic approach: 15% (95% CI 7-24%). Conclusions: The most common approach was the abdominal. The approach in the acute phase was more common. In the acute phase the abdominal approach is more frequent than the thoracic approach. In the chronic phase the thoracic approach is more frequent than the abdominal one. The requirement to open the second cavity was similar in both approaches.

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“…Many investigative techniques have been described for the diagnosis of TDR, including chest X-ray, CT scan, magnetic resonance imaging (MRI), echocardiography, upper gastrointestinal (GI) contrast studies, angiography, ultrasonography, thoracoscopy, peritoneal lavage, and laparascopy (6). Chest X-ray is currently the most valuable simple test, although, it can be diagnostic or suggestive of TDR in only 28-70% of cases (7). The CT scan has been used increasingly to diagnose diaphragmatic rupture with or without a hernia.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Isolated Pericardio-Diaphragmatic Rupture

2010

IJS

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Blunt diaphragmatic rupture1

Cited by 108 publications

References 20 publications

Traumatic Diaphragmatic Injury: A Marker of Serious Injury Challenging Trauma Surgeons

Traumatic Diaphragmatic Injury: A Marker of Serious Injury Challenging Trauma Surgeons

Thoracotomy compared to laparotomy in the traumatic diaphragmatic hernia. Systematic review and proportional methanalysis

Traumatic Isolated Pericardio-Diaphragmatic Rupture

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