[Diaphragmatic hernia caused by penetrating injury: emergency laparoscopic reconstruction]. 1997

L González-Rapado, and S A Collera-Rodríguez, and M Pérez-Esteban, and O Alfonso, and E J Ramírez-Barba
Servicio de Cirugía, Centro de Investigaciones Médico Quirúrgicas (CIMEQ), Ciudad Habana, Cuba.

OBJECTIVE To inform a patient with penetrating thoracic trauma and diaphragm injury that produced stomach herniation, being reduced the hernia and repaired the injury by laparoscopy though abdominal route with excellent result. METHODS 17-years-old male, hemodynamically stable with penetrating injury in the fifth left intercostal space, at the level of the middle auxiliary line, pneumothorax and left diaphragmatic hernia. Treatment. A pleurostomy tube was inserted. By laparoscopy 600 mL of free blood in abdominal cavity were aspired, the stomach hernia was reduced and the diaphragmatic repair was performed with nylon 3-0 running suture. The evolution was excellent, being integrated to his work at the twentieth postoperative day. CONCLUSIONS Our case supports that laparoscopic surgery is at therapeutic alternative in select cases of trauma.

UI MeSH Term Description Entries
D008297 Male Males
D010535 Laparoscopy A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy. Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D004630 Emergencies Situations or conditions requiring immediate intervention to avoid serious adverse results. Emergency
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006549 Hernia, Diaphragmatic, Traumatic The type of DIAPHRAGMATIC HERNIA caused by TRAUMA or injury, usually to the ABDOMEN. Diaphragmatic Hernia, Traumatic,Diaphragmatic Hernias, Traumatic,Hernia, Traumatic Diaphragmatic,Hernias, Traumatic Diaphragmatic,Traumatic Diaphragmatic Hernia,Traumatic Diaphragmatic Hernias
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D013898 Thoracic Injuries General or unspecified injuries to the chest area. Chest Injuries,Injuries, Chest,Injuries, Thoracic,Chest Injury,Injury, Chest,Injury, Thoracic,Thoracic Injury
D013902 Radiography, Thoracic X-ray visualization of the chest and organs of the thoracic cavity. It is not restricted to visualization of the lungs. Thoracic Radiography,Radiographies, Thoracic,Thoracic Radiographies
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor

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