Impact of Deferred Treatment of Blunt Diaphragmatic Rupture: A 15-Year Experience in Six Trauma Centers in Quebec

Bergeron, Éric; Clas, David; Ratte, Sebastien; Beauchamp, Gilles; Denis, Ronald; Evans, David L.; Fréchette, Pierre; Martin, Michelle T.

doi:10.1097/00005373-200204000-00004

Cited by 43 publications

(33 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 86%

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

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Clearly, the mortality rates of acute injury (7%-28%) differ from those of delayed diaphragmatic hernia. [1,9,24,25] In the former situation, the presence of shock, brain injury (only in blunt trauma) and Injury Severity Score of >15 determine the mortality. [9] Indeed, isolated diaphragmatic injuries in the absence of other surgical injuries were associated with low mortality.…”

mentioning

confidence: 99%

“…[9] Indeed, isolated diaphragmatic injuries in the absence of other surgical injuries were associated with low mortality. [6,24,25] The reported mortality rates of delayed diaphragmatic hernia have changed in recent decades attributable to the earlier diagnosis and the improved postoperative patient management, decreasing from 25% to 10%. [10,11] Recent case reports have reported low mortality rates in the treatment of delayed diaphragmatic hernias.…”

mentioning

confidence: 99%

Delayed presentation of posttraumatic diaphragmatic hernia

Okan¹,

Baş²,

Ziyade³

et al. 2011

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

“…Hastada acil cerrahi gerektirecek başka bir patoloji yoksa, diyafragma rüptürünün cerrahi tamiri, daha sonra yapılmak üzere ertelenebilir (9). Bizim olgumuzun da rektum ca ameliyatına girene kadar diyafragma hernisini düşündüre-cek herhangi bir semptomu bulunmamıştı.…”

Section: Discussionunclassified

Anaesthesia Management of a Patient with Incidentally Diagnosed Diaphragmatic Hernia During Laparoscopic Surgery

Ozdemir¹,

Yanlı²,

Tomruk³

et al. 2015

Turk J Anesth Reanim

View full text Add to dashboard Cite

Impact of Deferred Treatment of Blunt Diaphragmatic Rupture: A 15-Year Experience in Six Trauma Centers in Quebec

Abstract: Blunt diaphragmatic rupture in the absence of other surgical injuries carries low mortality. Operative repair of diaphragmatic rupture can be deferred without appreciable increased mortality if no other indication mandates immediate surgery.

Cited by 43 publications

References 24 publications

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

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

Delayed presentation of posttraumatic diaphragmatic hernia

Anaesthesia Management of a Patient with Incidentally Diagnosed Diaphragmatic Hernia During Laparoscopic Surgery

Contact Info

Product

Resources

About