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Sociedad Mexicana de Cirujanos Torácicos Genrales S.C.

2026, Number 1

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Rev Mex Cir Torac Gen 2026; 4 (1)

Surgical treatment of posttraumatic diaphragmatic hernia in a third level hospital

Bautista-Sánchez JA, Cruz-Benítez L, Martínez-Quezada R, Aguilar-Jaramillo AM, Valencia-Ledezma OE, Castro-Fuentes CA

Language: Spanish
References: 14
Page: 34-38
PDF size: 689.54 Kb.


ABSTRACT

Diaphragmatic hernia is a migration of abdominal structure towards the thorax through a defect of the diaphragm favored by the pressure gradient; it may be of congenital or acquired origin. Therefore, surgery is the only treatment to resolve this pathology. The objective of this work was to determine the best therapeutic approach for diaphragmatic hernia. 15 patients who were treated for posttraumatic hernia in the period 2020 to 2023 at the Hospital Regional de Alta Especialidad de Ixtapaluca (HRAEI) were included. The type of trauma that caused diaphragmatic hernia was contusion, the size of the diaphragmatic lesion was 2-10 cm (53.3%), the use of mesh in diaphragmatic plasty was only used in 20% for defects greater than 10 cm, and primary closure when the size of the lesion was < 10 cm, 93.3% of patients underwent open surgery. It is concluded that the best management for posttraumatic diaphragmatic hernia with defects smaller than 10 cm is closure with tension, and for defects larger than 10 cm it was the placement of mesh, since with these treatments no recurrence or complications occurred.


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