title: [The surgical treatment of traumatic diaphragmatic hernias].
abstract: The article discusses experience in treating traumatic diaphragmatic hernias in 68 patients, 63 of them underwent operation. Closed injuries to the diaphragm suffered in falling from a height and in car accidents and knife thoracoabdominal injuries were the main causes of this type of hernia. The principal role in their diagnosis belongs to X-ray examination with obligatory contrast study of the organs of the gastrointestinal tract. Among 41 patients who were operated on for non-strangulated hernia of this localization one died. In a group of 21 patients with a strangulated diaphragmatic hernia 11 died after surgery. Necrosis of the gastric and colonic wall, incompetence of the anastomosis sutures, peritonitis, and pleuritis were causes of death.
authors.forename: V Ia
authors.initials: VIa
authors.lastname: Vasiutkov
mesh_terms: D000328:Adult; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012426:Russia / Q000453:epidemiology
vernacular_title: Khirurgicheskoe lechenie travmaticheskikh diafragmal'nykh gryzh.