The role of laparoscopy in the diagnosis and treatment of missed diaphragmatic rupture
- PMID: 10890960
- DOI: 10.1007/s004640000112
The role of laparoscopy in the diagnosis and treatment of missed diaphragmatic rupture
Erratum in
- Surg Endosc 2000 Oct;14(10):980
Abstract
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.
Methods: During the last 2 years, we treated three patients laparoscopically to address neglected diaphragmatic ruptures that caused herniation of the intraabdominal contents.
Results: In all three cases, laparoscopy succeeded in identifying the diaphragmatic defect, so that the herniated viscera could be released and the defect repaired primarily or with a prosthesis. The intraoperative and the postoperative courses were uneventful; there were no significant complications.
Conclusion: Laparoscopy has an important role in the surgical treatment of missed diaphragmatic ruptures.
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