Traumatic Diaphragmatic Hernia

Payne, John H.

doi:10.1001/archsurg.1982.01380250008002

Cited by 92 publications

(40 citation statements)

References 20 publications

(2 reference statements)

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“…2018;33(1): [49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66] of the included studies reported the need to open the second cavity, so when opting for the thoracic approach, the need for abdominal cavity opening appears to have been greater than when the option was for the abdominal approach, but due to the small number of cases where it was possible to collect these data, the confidence interval was very wide, making this difference not significant. Perhaps if more studies had shown this data we could have found significant difference.…”

Section: ■ Discussionmentioning

confidence: 99%

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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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Section: ■ Discussionmentioning

confidence: 99%

“…2018;33(1): [49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66] 4-The most used approach in the chronic phase.…”

Section: ■ Introductionmentioning

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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“…The liver partially closes the defect on the right side. In late onset Bochdalek hernias, complaints such as pulmonary infections, vomiting, dyspnea, abdominal pain and anorexia are observed [4,5]. In the CDH serials of Berman et al conducted with 26 patients with late symptoms, primary diagnosis in 16 of the patients was reported as primary pulmonary abnormalities of which four were resolved with thoracentesis [6].…”

Section: Discussionmentioning

confidence: 99%

Congenital Diaphragmatic Hernia in an Adult Presenting With Ileus: A Case Report

Paltaci

2014

J Med Cases

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“…The initial investigation of choice is a chest radiograph, which can be diagnostic when hollow abdominal viscera or a naso gastric tube is detected in the hemi thorax (20).An upper gastrointestinal barium meal series and a barium enema will often delineate the presence of the stomach or colon within the thoracic cavity (21).The use of Multidetector CT with coronal and sagittal multiplanar reformation has improved the accuracy of CT for the diagnosis of TDI (22). It was reported that the diagnostic accuracy of laparoscopy was excellent for hemoperitoneum, solid-organ injuries, and diaphragmatic lacerations (23).The thoracoscopy has been shown to have a high sensitivity and specificity with an accuracy rate of 98%-100% for the diagnosis of diaphragmatic injury in stable patients (24).Diagnosis of TDH is often delayed because intra abdominal organs may take some time to herniate through the rent in the diaphragm.…”

Section: Diagnosismentioning

confidence: 99%