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Case Reports
. 2000 Jun;14(6):537-9.
doi: 10.1007/s004640000112.

The role of laparoscopy in the diagnosis and treatment of missed diaphragmatic rupture

Affiliations
Case Reports

The role of laparoscopy in the diagnosis and treatment of missed diaphragmatic rupture

A Matz et al. Surg Endosc. 2000 Jun.

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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