Diagnostic process and management of diaphragmatic injuries: approach in patients with blunt and penetrating trauma.
BACKGROUND
Diaphragmatic rupture is one of the most commonly missed injuries in trauma cases. Traditionally, laparotomy or thoracotomy has been the treatment of choice for this condition. We aimed to evaluate the diagnostic process in patients with diaphragmatic injuries (DIs) who were diagnosed with diaphragm rupture during the preoperative or intraoperative course together with morbidity and mortality rates.


METHODS
Sixteen patients with DIs were admitted to our department during the last seven-year period. Surgical procedure, accompanying injuries, duration of hospital stay, transfusion necessity, and morbidity and mortality rates were analyzed retrospectively.


RESULTS
In seven years, 16 patients were treated and followed-up for DI. Female/male ratio was 2/14. Fifteen patients were operated and one was treated conservatively. The mortality rate was 2/16.


CONCLUSIONS
DIs are being seen with increasing frequency in recent years. In patients with high Injury Severity Score (ISS), probability of DI should be taken into consideration.
Celik
Atilla
A
2nd Department of General Surgery, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey. dratillacelik@yahoo.com
Altinli
Ediz
E
Köksal
Neşet
N
Cağlayan
Kaslm
K
Uzun
Mehmet Ali
MA
Erdoğan
Doğan
D
Ozkan
Omer Faruk
OF
D000293:Adolescent; D000328:Adult; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D014421:Turkey; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy