Recent Approaches in Management of Traumatic Diaphragmatic Injury

Abstract

Traumatic diaphragmatic injury (DI) is a unique clinical entity that is usually occult and can easily be missed. Their delayed presentation can be due to the delayed rupture of the diaphragm or delayed detection of diaphragmatic rupture, making the accurate diagnosis of DI challenging to the trauma surgeons. An emergency laparotomy and thorough exploration followed by the repair of the defect is the gold standard for the management of these cases. A correct diagnosis remains difficult and is usually made late.

Keywords: Blunt diaphragmatic rupture, hemopneumothorax, herniation and strangulation, thoracotomy, laparotomy, VATS, Thoracoscopy, Prolene mesh and collar sign.