>Year 2001, Issue 4
Padilla GMA, Guerrero GVH, Ruiz GGH, Vizcarra DA
Trauma of the diaphragm: Eleven-years experience at the Central Military Hospital
Cir Gen 2001; 23 (4)
PDF: 4. Kb.
Objective: To inform on our 11-years experience in the surgical treatment of wounds of the diaphragm.
Setting: Third level health care hospital.
Design: Retrospective, observational study.
Patients and methods: We reviewed the clinical records of 50 patients with thoraco-abdominal trauma, penetrating and blunt, during an 11-years period. We analyzed the following variables: gender, age, diagnosis, mechanisms of lesion, affected hemidiaphragm, associated lesions, morbidity and mortality.
Results: Men predominated (46), average age was of 24 years, only in six patients was the lesion of the diaphragm diagnosed before surgery; in 86% the mechanisms of lesion was due to penetrating trauma and of these 20% were stab wounds and 66% caused by firearms. Injuries to the left side predominated with 64%, associated lesions occurred in 88%, the most frequent one was in the liver in 18 patients, and five cases were documented as isolated lesions. Morbidity was of 34%, only 3 patients (6%) died.
Conclusion: Results agree with those in the literature, it is noteworthy that penetrating trauma was more frequent than the blunt one in the type of analyzed population. The liver was the organ most associated to the lesion. Severity of the associated lesion was a relevant factor influencing morbidity and mortality.
||Thoraco-abdominal trauma, abdomen and thorax injury, diaphragm trauma.
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>Year 2001, Issue 4