MANAGEMENT OF TRAUMATIC DIAPHRAGMATIC HERNIAS

Main Article Content

Muhammad Abid Khan
Amer Bilal
Viqar Aslam
Mohtashim Billah
Ain ul Hadi
Farid Ullah
Abdul Baseer
M. Muslim

Abstract

Objective: Experience with traumatic diaphragmatic hernias was reviewed to identify pitfalls in the

diagnosis and treatment of this injury.

Material and Methods: A Computerized chart review of all patients admitted to the Thoracic Trauma

unit with traumatic diaphragmatic hernias was undertaken for the period of January 2001 to December

2007.

Results: We retrospectively analyzed 18 patients who presented between January 2001 and December

2007 with traumatic diaphragmatic hernia, caused by blunt injuries in 15 (83.3%) and by penetrating

injuries in 3 (16.7%). Average age of the patients was 30 years and the female to male ratio was 4:14.

Traumatic diaphragmatic hernia was right-sided in 5 (27.8%) patients and left-sided in 13 (72.2%). The

diagnosis was made by chest X-ray, thorax and upper abdominal computed tomography, and upper

gastrointestinal contrast study. The most common herniated organs were omentum (n=11), stomach (n=10),

spleen and colon (n=9), and liver (n=2). Sixteen diaphragmatic injuries were repaired primarily, and two

were repaired using a prolene mesh graft. The mortality rate was 5.5% (n=1). Chest pain, abdominal pain,

or dyspnea were the predominant symptoms.

Conclusion: Careful history, use of good diagnostic tool, best approach and meticulous repair are

important because of the frequency and severity of associated injuries.

Article Details

How to Cite
1.
Khan MA, Bilal A, Aslam V, Billah M, Hadi A ul, Ullah F, Baseer A, Muslim M. MANAGEMENT OF TRAUMATIC DIAPHRAGMATIC HERNIAS. J Postgrad Med Inst [Internet]. 2011 Oct. 17 [cited 2022 Oct. 7];22(4). Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/1104
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Original Article

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