title: [Must all diaphragmatic penetrating wounds be sutured?].
abstract: Wounds to the abdominal-thoracic region are associated with diaphragm wounds in up to 48% of cases. Lesions secondary to diaphragm trauma are present in the majority of cases, facilitating the diagnosis of diaphragm lesion and subsequent surgical management. However, diaphragm lesions are isolated in 8 to 10% of cases and because they present few or no symptoms may be overlooked. In such situations, can the diaphragm be treated conservatively without suturing? Based on experiments in animals and a review of the literature, we concluded there is currently insufficient evidence to affirm that diaphragm injuries require no suturing.
authors: Departamento de Cirurgia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, SP, Brasil. rsaad@uol.com.br
authors: Roberto
authors: R
authors: Saad Júnior
authors: Roberto
authors: R
authors: Gonçalves
mesh_terms: D003964:Diaphragm / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D013537:Sutures; D014950:Wounds, Penetrating / Q000601:surgery*