[Post-traumatic diaphragmatic rupture. Report of 20 cases].
From 1977 to 1987, 20 patients (18 men and 2 women) with left post-traumatic diaphragmatic rupture, were managed by the General Surgery Service of the Hospital de Especialidades, Centro Médico de Occidente, IMSS; 13 as urgencies (65%) and 7 as elective procedures (35%). Hernia was due to closed trauma in 80% of the cases. Predominant symptoms were chest pain (85%) and dyspnea (50%). The Stomach was the herniated viscus in 16 instances. CXR showed suggestive data in 95% of the cases. Primary closure was achieved in 95% of the cases, in 8 patients thoraco-abdominal aproach was necessary. There were 50% morbidity (35% athelectasis, 30% wound sepsis) and 10% mortality rates.
Arenas-Márquez
H
H
Departamento de Cirugía General, Hospital de Especialidades, Centro Médico de Occidente, IMSS.
Antonio de Mucha Mora
R
R
Gutiérrez de la Rosa
J L
JL
Balderas Pérez
C
C
Juárez Alcaraz
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Ruptura diafragmática post-traumática. Reporte de 20 casos.