Approach to Traumatic Diaphragm Injuries: Single Center Experience

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dc.contributor.authorSenturk, Mustafa
dc.contributor.authorCakir, Murat
dc.contributor.authorAkbulut, Muhammed Ali
dc.contributor.authorYesildag, Kerim
dc.date.accessioned2024-02-23T14:44:48Z
dc.date.available2024-02-23T14:44:48Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractBackground: Traumatic diaphragm injuries are rare. After blunt trauma, injuries occur with a 1-7% rate. This rate increases up to 15% in penetrating injuries. Diagnosis may be difficult and imaging tests may be misleading. The misdiagnosis may lead to herniated abdominal organs towards the intrathoracic cavity, with a mortality rate between 30% and 60%. This study was designed to investigate the data of patients operated for diaphragmatic injury in our clinic. Methods: The files of trauma patients admitted to our hospital between 2014-2019 were reviewed retrospectively. The files of cases with diaphragmatic injury were examined. Patients were evaluated in terms of age, sex, type of injury, localization, additional organ injuries, grade, surgical method, and mortality. Values were statistically analyzed. Results: A total of 20 patients were included in the study. Of the patients, 7 were female and 13 were male. The mean age was 32.7 (17-52) years. Of the cases, 10 were with stab wounds while 4 were incar traffic accidents and 6 were gunshot wounds. Although all patients had thoracoabdominal injuries, 4 patients had additional pelvic injuries. Of the cases, 14 were accompanied with lung injury while 5 with intestinal, 4 with the spleen, 3 with liver, and 2 with cardiovascular injury. Patients with intestinal resection performed had a longer hospitalization period than others. When the severity of the injury was evaluated, grade 3 injuries were detected most commonly, whereas 3 patients had grade 1, 2, and 4 injuries. Grade 5 injury was detected in 1 patient. Primary repair was performed in 18 patients and mesh repair was performed in 2 patients. In three cases, the repair was performed with a thoracic way. One patient died on the postoperative first day. Conclusions: Diaphragmatic injuries that may be missed during imaging may be damaged with many organs. Diaphragmatic injuries should be kept in mind in the upper abdominal and thoracic injuries.en_US
dc.identifier.doi10.6705/j.jacme.202103_11(1).0003
dc.identifier.endpage21en_US
dc.identifier.issn2211-5587
dc.identifier.issn2211-5595
dc.identifier.issue1en_US
dc.identifier.pmid33928012en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage18en_US
dc.identifier.urihttps://doi.org/10.6705/j.jacme.202103_11(1).0003
dc.identifier.urihttps://hdl.handle.net/20.500.12452/17125
dc.identifier.volume11en_US
dc.identifier.wosWOS:000632993100003en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaiwan Soc Emergency Medicineen_US
dc.relation.ispartofJournal Of Acute Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDiaphragmen_US
dc.subjectInjuryen_US
dc.subjectPrimer Repairen_US
dc.titleApproach to Traumatic Diaphragm Injuries: Single Center Experienceen_US
dc.typeArticleen_US

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