The Experts below are selected from a list of 264 Experts worldwide ranked by ideXlab platform
Jeffrey G. Jarvik - One of the best experts on this subject based on the ideXlab platform.
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Tension Pneumothorax Secondary to a Gastropleural Fistula in a Traumatic Diaphragmatic Hernia
Chest, 1991Co-Authors: Richard Schwab, Jeffrey G. JarvikAbstract:We report a case of tension pneumothorax due to a gastropleural fistula resulting from perforation of the stomach in a Traumatic Diaphragmatic Hernia. Awareness of perforation of strangulated stomach or bowel in a Diaphragmatic Hernia as a cause of pneumothorax, with or without tension physiology, in a patient with a history of trauma is important so that surgical repair can be undertaken without delay. (Chest 1991; 99:247–49)
Maruti Yamanappa Haranal - One of the best experts on this subject based on the ideXlab platform.
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Traumatic Diaphragmatic Hernia—17 years experience
Indian Journal of Thoracic and Cardiovascular Surgery, 2018Co-Authors: Maruti Yamanappa Haranal, Shashidhar Buggi, Satyaprakash Sanjeevaiah, Venugopal VenkatappaAbstract:Background Objective of this study is to review our experience in the management of Traumatic Diaphragmatic Hernias over 17 years. Methods Following Ethical Committee clearance, records of all patients who underwent Traumatic Diaphragmatic Hernia surgery at Shanthabai Devarao Shivaram (SDS) Tuberculosis Research Centre and Rajiv Gandhi Institute of Chest Diseases, Bengaluru, India from January 1998 to December 2015 were reviewed. Data collected and analyzed were clinical presentation, mode of diagnosis, intraoperative findings and the postoperative clinical outcomes. Results Sixty patients underwent Traumatic Diaphragmatic Hernia repair during this period. Age ranged between 10 and 80 years. The most common presentation was dyspnea. Blunt trauma was the cause in 52 (86.67%) cases and penetrating trauma in 8 (13.33%) cases. The diagnosis was within 24 h in 45 (75%) cases and in 15 (25%) cases the diagnosis was made after 24 h. Thoracotomy was the preferred approach for the repair in the absence of associated abdominal injuries. The most common site of rupture was the central tendon. The perioperative mortality was 8.33%. The hospital stay ranged between 5 and 84 days (mean 22 days). Conclusion Right-sided Diaphragmatic Hernias are notorious to be missed on initial evaluation. Despite advances in diagnostic modalities, chest X-ray still continues to be useful in the diagnosis of Traumatic ruptures. A high index of suspicion, together with the knowledge of mechanism of trauma is the key factor for the correct diagnosis.
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Tension fecopneumothorax secondary to unrecognized delayed Traumatic Diaphragmatic Hernia
Indian Journal of Thoracic and Cardiovascular Surgery, 2016Co-Authors: Maruti Yamanappa Haranal, Shashidhar Buggi, Sathyaprakash SanjeevaiahAbstract:Traumatic Diaphragmatic Hernia is an uncommon but severe problem that is usually seen in patients suffered from blunt or penetrating thoracoabdominal injuries. Despite advances in modern technology, 30–50% of Traumatic Diaphragmatic ruptures are missed on initial presentation. We report a case of tension fecopneumothorax secondary to an undiagnosed delayed Traumatic Diaphragmatic Hernia in a patient, who sustained blunt trauma chest 15 years back. This case is being presented to emphasize readers that, the diagnosis of Diaphragmatic injuries is challenging and requires a high index of clinical suspicion, late presentations are associated with increased morbidity and mortality.
Richard Schwab - One of the best experts on this subject based on the ideXlab platform.
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Tension Pneumothorax Secondary to a Gastropleural Fistula in a Traumatic Diaphragmatic Hernia
Chest, 1991Co-Authors: Richard Schwab, Jeffrey G. JarvikAbstract:We report a case of tension pneumothorax due to a gastropleural fistula resulting from perforation of the stomach in a Traumatic Diaphragmatic Hernia. Awareness of perforation of strangulated stomach or bowel in a Diaphragmatic Hernia as a cause of pneumothorax, with or without tension physiology, in a patient with a history of trauma is important so that surgical repair can be undertaken without delay. (Chest 1991; 99:247–49)
L Novellino - One of the best experts on this subject based on the ideXlab platform.
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right post Traumatic Diaphragmatic Hernia with liver and intestinal dislocation
Journal of Surgical Case Reports, 2017Co-Authors: C Sala, M Bonaldi, P Mariani, F Tagliabue, L NovellinoAbstract:Right Diaphragmatic Hernia is an uncommon injury following abdominal trauma. A case of delayed right post-Traumatic Diaphragmatic Hernia is presented. The patient referred us with wheezing and cough since 1 month. A chest-abdominal computed tomography scan demonstrated a large Diaphragmatic defect with liver and intestinal dislocation. The patient underwent surgical intervention with Diaphragmatic repair. No complications were observed during admission and follow-up is actually negative for recurrence.
Shashidhar Buggi - One of the best experts on this subject based on the ideXlab platform.
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Traumatic Diaphragmatic Hernia—17 years experience
Indian Journal of Thoracic and Cardiovascular Surgery, 2018Co-Authors: Maruti Yamanappa Haranal, Shashidhar Buggi, Satyaprakash Sanjeevaiah, Venugopal VenkatappaAbstract:Background Objective of this study is to review our experience in the management of Traumatic Diaphragmatic Hernias over 17 years. Methods Following Ethical Committee clearance, records of all patients who underwent Traumatic Diaphragmatic Hernia surgery at Shanthabai Devarao Shivaram (SDS) Tuberculosis Research Centre and Rajiv Gandhi Institute of Chest Diseases, Bengaluru, India from January 1998 to December 2015 were reviewed. Data collected and analyzed were clinical presentation, mode of diagnosis, intraoperative findings and the postoperative clinical outcomes. Results Sixty patients underwent Traumatic Diaphragmatic Hernia repair during this period. Age ranged between 10 and 80 years. The most common presentation was dyspnea. Blunt trauma was the cause in 52 (86.67%) cases and penetrating trauma in 8 (13.33%) cases. The diagnosis was within 24 h in 45 (75%) cases and in 15 (25%) cases the diagnosis was made after 24 h. Thoracotomy was the preferred approach for the repair in the absence of associated abdominal injuries. The most common site of rupture was the central tendon. The perioperative mortality was 8.33%. The hospital stay ranged between 5 and 84 days (mean 22 days). Conclusion Right-sided Diaphragmatic Hernias are notorious to be missed on initial evaluation. Despite advances in diagnostic modalities, chest X-ray still continues to be useful in the diagnosis of Traumatic ruptures. A high index of suspicion, together with the knowledge of mechanism of trauma is the key factor for the correct diagnosis.
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Tension fecopneumothorax secondary to unrecognized delayed Traumatic Diaphragmatic Hernia
Indian Journal of Thoracic and Cardiovascular Surgery, 2016Co-Authors: Maruti Yamanappa Haranal, Shashidhar Buggi, Sathyaprakash SanjeevaiahAbstract:Traumatic Diaphragmatic Hernia is an uncommon but severe problem that is usually seen in patients suffered from blunt or penetrating thoracoabdominal injuries. Despite advances in modern technology, 30–50% of Traumatic Diaphragmatic ruptures are missed on initial presentation. We report a case of tension fecopneumothorax secondary to an undiagnosed delayed Traumatic Diaphragmatic Hernia in a patient, who sustained blunt trauma chest 15 years back. This case is being presented to emphasize readers that, the diagnosis of Diaphragmatic injuries is challenging and requires a high index of clinical suspicion, late presentations are associated with increased morbidity and mortality.
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Traumatic Diaphragmatic Hernia-our experience
International journal of surgery (London England), 2009Co-Authors: Syed Murfad Peer, Patil Mallikarjun Devaraddeppa, Shashidhar BuggiAbstract:Abstract Objective To review our experience in the management of Traumatic Diaphragmatic Hernia. Materials and methods The records of all patients operated for Diaphragmatic Hernia between January 1998 and October 2008 at S.D.S Sanitorium and Rajiv Gandhi Institute of Chest Diseases, Bangalore, India were reviewed. Details of their clinical presentation, mode of diagnosis, operative findings and postoperative outcome were analysed. Results Twenty nine patients underwent surgery for Traumatic Diaphragmatic Hernia. The cause of rupture was blunt trauma in 24(83%) patients and penetrating trauma in 5(17%) patients. In 21 (72%) patients the diagnosis was made within 24hrs and in 8(28%) patients the diagnosis was made after 24hrs. Thoracotomy was the most common surgical approach used in 20(69%) patients. Post operative morbidity was 24% and mortality was 13.8%. Conclusion X-ray chest is still very useful in the diagnosis of Diaphragmatic ruptures. Right sided ruptures are difficult to diagnose. Diaphragmatic Hernia repair can be done through a thoracotomy with acceptable results in patients without concomitant intra abdominal injuries.
