AI Article Synopsis
- Posttraumatic diaphragmatic hernias (PDH) can arise from trauma and typically require surgery.
- Two cases of left-sided PDH with complications were successfully treated using laparoscopy, which proved to be a safe and effective method.
- The study suggests that minimally invasive techniques are preferable for managing these complications in stable patients, anticipating similar long-term outcomes as traditional surgery.
Article Abstract
Background: Posttraumatic diaphragmatic hernias (PDH) are serious complications of blunt and penetrating abdominal or thoracic trauma. Traditional thoracic or abdominal operations are usually performed in these cases.
Methods: We present 2 cases of posttraumatic left-sided diaphragmatic hernia complicated by strangulation and colon obstruction. Both cases were successfully treated with laparoscopy.
Results: We found that laparoscopy is a safe, successful, and gentle procedure not only for diagnosis but also for treatment of complicated PDH. Strangulation and colon obstruction were not contraindications to performing laparoscopic procedures. The postoperative course and long-term follow-up (range, 12 to 30 months) were uneventful and short. We expect the same good long-term results after laparoscopic repair as after open conventional surgery.
Conclusion: We recommend the use a minimally invasive approach to treat posttraumatic diaphragmatic hernia complicated by strangulation and colon obstruction in hemodynamically stable patients.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3041041 | PMC |
| http://dx.doi.org/10.4293/108680810X12924466006648 | DOI Listing |
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