Laparoscopy in the management of diaphragmatic rupture due to blunt trauma

Martin, Ian, O'Rourke, Nicholas, Gotley, David and Smithers, Mark (1998) Laparoscopy in the management of diaphragmatic rupture due to blunt trauma. Australian and New Zealand Journal of Surgery, 68 8: 584-586. doi:10.1111/j.1445-2197.1998.tb02105.x


Author Martin, Ian
O'Rourke, Nicholas
Gotley, David
Smithers, Mark
Title Laparoscopy in the management of diaphragmatic rupture due to blunt trauma
Journal name Australian and New Zealand Journal of Surgery   Check publisher's open access policy
ISSN 0004-8682
Publication date 1998-08
Sub-type Article (original research)
DOI 10.1111/j.1445-2197.1998.tb02105.x
Volume 68
Issue 8
Start page 584
End page 586
Total pages 3
Place of publication Richmond, Vic., Australia
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Background: Traumatic diaphragmatic rupture remains diagnostic challenge often unrecognized until laparotomy in over 40% of patients and the diagnosis is delayed in further 15%. This report describes four patients diagnosed at laparoscopy with ruptured diaphragm.
Methods: One patient had left diaphragmatic rupture amenable to laparoscopic repair in the emergency setting. Three patients underwent laparoscopy 2, 7 and 10 days after injury which revealed two right-sided and one extensive left-sided rupture, respectively; each required open repair.
Results: While laparoscopy is an excellent diagnostic tool, particularly in the delayed setting, repair is not possible for right-sided ruptures because of the liver bulk.
Conclusions: Thoracoscopy in the instance of delayed presentation may offer the best chance for minimal-access diagnosis and treatment when there is suspicion of right-sided diaphragmatic rupture.
Keyword Diaphragm
Laparoscopy
Rupture
Thoracoscopy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Mon, 18 Oct 2010, 09:16:53 EST