ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Acute Traumatic Diaphragmatic Ruptures: Case Report
Dr. Bülent KOÇER,a Dr. Erkan YILDIRIM,a Dr. Tevfik KAPLAN,a Dr. Gültekin GÜLBAHAR,aDr. Hakan AYDIN,a Dr. Koray DURAL,a Dr. Ünal SAKINCIa
aGöğüs Cerrahi Kliniği, Ankara Numune Eğitim ve Araştırma Hastanesi, ANKARA
The study comprises 5 cases with diaphragmatic injury, which were caused by blunt thoracoabdominal trauma between January 2002 and January 2005. All patients were male and the mean age was 36.4 years. Diaphragmatic rupture was detected in 5 (1%) out of 496 patients. All patients had left diaphragmatic injuries; one was intervened with transabdominal (20%) and 4 with transthoracic approach, and all the ruptures were succesfully repaired with primary sutures. The chest x-ray, especially when performed after insertion of a nasogastric tube, was a useful screening tool. Gastric herniation was the most common herniation. The overall perioperative mortality was 20% with one fatal case and the remaining patients were discharged uneventfully. In the left hemidiaphragm ruptures, the transabdominal approach should be performed due to the high frequency of the coinciding intraabdominal injuries. However, in patients without intraabdominal injury, transthoracic approach may be the best procedure to be performed.Keywords: Hernia, diaphragmatic, traumatic; emergency treatment; adultTurkiye Klinikleri J Med Sci 2007, 27:463-467
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