eMedicine Specialties > Thoracic Surgery > Trauma
Diaphragmatic Hernias, Acquired: Follow-up
Updated: Jan 14, 2008
Outcome and Prognosis
In traumatic ruptures, the outcome is generally related to concomitant injuries. Reported mortality ranges from 5.5-51%. People with isolated diaphragmatic injuries tend to recover without long-term disability.
Future and Controversies
Minimally invasive techniques for diaphragmatic repair are becoming more common than before. With advances in technology and surgical skills, repairing both acute and chronic diaphragmatic hernias is possible with laparoscopic, thoracoscopic, or combined approaches.
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References
Blaivas M, Brannam L, Hawkins M, Lyon M, Sriram K. Bedside emergency ultrasonographic diagnosis of diaphragmatic rupture in blunt abdominal trauma. Am J Emerg Med. Nov 2004;22(7):601-4. [Medline].
Sliker CW. Imaging of diaphragm injuries. Radiol Clin North Am. Mar 2006;44(2):199-211, vii. [Medline].
Hamoudi D, Bouderka MA, Benissa N, Harti A. Diaphragmatic rupture during labor. Int J Obstet Anesth. Oct 2004;13(4):284-6. [Medline].
Hayden JD, Davies JB, Martin IG. Diaphragmatic rupture resulting from gastrointestinal barotrauma in a scuba diver. Br J Sports Med. Mar 1998;32(1):75-6. [Medline].
West, John B. Normal Physiology; Acute Respiratory Failure. In: Anthony, Robert. Pulmonary Physiology and Pathophysiology. Baltimore, MD: Lippincott Williams & Wilkins; 2001:2-3; 129.
Blaivas M, Brannam L, Hawkins M, Lyon M, Sriram K. Bedside emergency ultrasonographic diagnosis of diaphragmatic rupture in blunt abdominal trauma. Am J Emerg Med. Nov 2004;22(7):601-4. [Medline].
Ahmed N, Whelan J, Brownlee J, Chari V, Chung R. The contribution of laparoscopy in evaluation of penetrating abdominal wounds. J Am Coll Surg. Aug 2005;201(2):213-6. [Medline].
Cameron JL. Diaphragmatic injury. In: Current Surgical Therapy. 7th ed. Mosby-Year Book: St Louis, MO; 2001:1095-100.
Fell SC. Surgical anatomy of the diaphragm and the phrenic nerve. Chest Surg Clin N Am. May 1998;8(2):281-94. [Medline].
Irish MS, Holm BA, Glick PL. Congenital diaphragmatic hernia. A historical review. Clin Perinatol. Dec 1996;23(4):625-53. [Medline].
Mandell GA, Finkelstein MS, Hallowell M. Delayed presentation of a symptomatic Morgagni hernia. South Med J. Oct 1989;82(10):1299-302. [Medline].
Mansour KA. Trauma to the diaphragm. Chest Surg Clin N Am. May 1997;7(2):373-83. [Medline].
Naunheim KS. Adult presentation of unusual diaphragmatic hernias. Chest Surg Clin N Am. May 1998;8(2):359-69. [Medline].
Shah R, Sabanathan S, Mearns AJ, Choudhury AK. Traumatic rupture of diaphragm. Ann Thorac Surg. Nov 1995;60(5):1444-9. [Medline].
Sharma OP. Traumatic diaphragmatic rupture: not an uncommon entity--personal experience with collective review of the 1980's. J Trauma. May 1989;29(5):678-82. [Medline].
van Vugt AB, Schoots FJ. Acute diaphragmatic rupture due to blunt trauma: a retrospective analysis. J Trauma. May 1989;29(5):683-6. [Medline].
Further Reading
Keywords
hiatal hernia, diaphragm, congenital diaphragmatic hernia, CDH, respiratory dysfunction, respiratory compromise, blunt trauma, penetrating trauma, diaphragmatic rupture, motor vehicle accident, gunshot wound, stab wound, diaphragmatic hernia, acquired hernia, acquired diaphragmatic hernia
Follow-up: Diaphragmatic Hernias, Acquired