title: [Diaphragmatic injury: condition be noticed in the management of thoracic trauma].
abstract: BACKGROUND
  The aim of the present study was to emphasize diaphragmatic injuries that can be overlooked in chest traumas.
  
  
  METHODS
  Between January 2000 and June 2013, fifty-three patients with traumatic diaphragmatic laceration were evaluted among 1349 patients who had chest injuries. Patients were examined regarding age, gender, associated injuries, surgical interventions, postoperative morbidity, mortality and length of hospital stays.
  
  
  RESULTS
  Of them, fifty-three cases had diaphragmatic lacerations. There were forty-eight male and five female patients, with a mean age of 31.06 (4-60) years and 35.80 (18-50) years. Thoracotomy in 66%, laparotomy in 20.75% and laparotomy+thoracotomy in 13.20% of the cases were performed. Video-assisted thoracoscopy was carried out in 15.09% of the patients. Diaphragm was repaired on the left in thirty-one cases and in the right in twenty-two cases. Pulmonary complications like morbidity was mostly seen in 37.73% of blunt trauma. Mortality was seen in three cases of penetrating trauma. Mean hospital duration was 8.75 days (range, 4-15 days). Patients were followed for a mean duration of 28.13 months (range, 3-60 months). There was no significant statistical difference between types of injury, ages and gender of cases (p=0.05); whereas, morbidity rate was important in patients with blunt trauma.
  
  
  CONCLUSIONS
  Diaphragmatic lacerations should be kept in mind when penetrating and blunt injuries to the thorax are evaluated.
authors.affiliation: Department of Thoracic Surgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Meteroğlu
authors.affiliation: Department of Thoracic Surgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Atalay
authors.initials: A
authors.lastname: Şahin
authors.affiliation: Department of Cardivascular Surgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: İsmail
authors.initials: İ
authors.lastname: Başyiğit
authors.affiliation: Department of Thoracic Surgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Menduh
authors.initials: M
authors.lastname: Oruç
authors.affiliation: Department of Thoracic Surgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Monıs
authors.affiliation: Department of Thoracic Surgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Sızlanan
authors.affiliation: Department of Thoracic Surgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Onat
authors.affiliation: Department of Thoracic Surgery, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
authors.forename: Refik
authors.initials: R
authors.lastname: Ülkü
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003964:Diaphragm / Q000293:injuries*; D005260:Female; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D013898:Thoracic Injuries / Q000150:complications*; D013908:Thoracotomy; D014421:Turkey / Q000453:epidemiology; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D014950:Wounds, Penetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D055815:Young Adult