Thoracoscopic repair of traumatic diaphragmatic rupture

Kurata, K; Kubota, Keiichi; Oosawa, Hajime; Eda, N; Ishihara, T.

doi:10.1007/bf00189549

Cited by 25 publications

(10 citation statements)

References 7 publications

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“…They suggested that combined thoracoscopy and laparoscopy may offer both therapeutic and diagnostic benefits in stable patients with penetrating injuries. Kurata et al [13] reported thoracoscopic repair of diaphragmatic rupture after blunt trauma. They suggested performing the thoracoscopic repair of a traumatic diaphragmatic rupture after abdominal injuries have been ruled out.…”

Section: Discussionmentioning

confidence: 99%

“…Several diagnostic tools such as initial chest x-ray, radiographs after nasogastric tube placement, thoracoabdominal computed tomography (CT) scanning, sonography, diagnostic peritoneal lavage, upper and lower gastrointestinal contrast study, liver scintigraphy, contrast or air peritoneography, and magnetic resonance imaging (MRI) are described for the management of traumatic rupture of the diaphragm [6, 10, 11, 14, 16, 18, 19, 211. Correct diagnosis with the use of these imaging methods depends largely on the demonstration of hemiated abdominal contents rather than the direct demonstration of diaphragmatic tear. Recently, laparoscopy and thoracoscopy were reported to be helpful in both the diagnosis and treatment of traumatic diaphragmatic rupture [13,15].…”

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confidence: 99%

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The diagnostic dilemma of traumatic rupture of the diaphragm

et al. 2001

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

The diagnostic dilemma of traumatic rupture of the diaphragm

et al. 2001

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“…In large diaphragmatic ruptures with herniation of abdominal content into the thoracic cavity, laparoscopy alone may not be sufficient and a more complex, combined approach including double-lumen endotracheal intubation and thoracoscopy may be necessary [43–45]. …”

Section: For Whom?mentioning

confidence: 99%

Laparoscopy in Blunt Abdominal Trauma: for Whom? When?and Why?

2017

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The management of blunt abdominal trauma has evolved over time. While laparotomy is the standard of care in hemodynamically unstable patients, stable patients are usually treated by non-operative management (NOM), incorporating adjuncts such as interventional radiology. However, although NOM has shown good results in solid organ injuries, other lesions, namely those involving the hollow viscus, diaphragm, and mesentery, do not qualify for this approach and need surgical exploration. Laparoscopy can substantially reduce additional surgical aggression. It has both diagnostic and therapeutic potential and, when negative, may reduce the number of unnecessary laparotomies. Although some studies have shown promising results on the use of laparoscopy in blunt abdominal trauma, randomized controlled studies are lacking. Laparoscopy requires adequate training and experience as well as sufficient staffing and equipment.

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“…Recently, laparoscopy and thoracoscopy were reported to be helpful in both the diagnosis and treatment of traumatic diaphragmatic rupture. [78] In a study by Bagheri et al ., the diagnostic accuracy of thoracoscopy in occult diaphragmatic injury after penetrating injury was 100%. [9] Laparoscopic repair has also been done successfully.…”

Section: Discussionmentioning

confidence: 99%