Ts20p laparoscopic repair of traumatic diaphragmatic herniae: a case presentation and synthesis of the literature experience.

Ts20p laparoscopic repair of traumatic diaphragmatic herniae: a case presentation and synthesis of the literature experience. Research Abstract Details 

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Ts20p laparoscopic repair of traumatic diaphragmatic herniae: a case presentation and synthesis of the literature experience. Abstract Text:

S Chong,D Adams,H Rahman,

Purpose Traumatic diaphragmatic herniae are an uncommon sequelae of abdominal trauma which present a significant diagnostic challenge, especially when unaccompanied by other intraabdominal injuries necessitating exploratory laparotomy. Laparoscopic repair is a relatively new and uncommon procedure, with the literature consisting almost entirely of isolated case reports and small case series. We present one of our own cases, and perform a quantitative analysis of the combined literature experience to date. Methodology Cases reports of laparoscopic repair of traumatic diaphragmatic herniae were identified by a Medline literature search. Clinical findings, technical decisions and outcomes were correlated via database. Results Data from 50 cases was available. There was no common standard method of repair although the majority (31/50) were accomplished without the use of mesh. The major complication rate was 4%, the overall complication rate was 16%. Defects greater than 10cm long were associated with a 41% rate of open conversion, versus 0% if less than 10cm. There were no recurrences described. Conclusion Laparoscopic repair of traumatic diaphragmatic herniae enjoys a low rate of major complications, whilst avoiding the morbidity of open repair. Several technical points remain open to operator preference, and we invite discussion regarding the merits of each.

Ts20p laparoscopic repair of traumatic diaphragmatic herniae: a case presentation and synthesis of the literature experience. Publishing Authors By Initials

S Chong,D Adams,H Rahman,

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Ts20p laparoscopic repair of traumatic diaphragmatic herniae: a case presentation and synthesis of the literature experience. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: ANZ journal of surgery

VOLUME: 77 Suppl 1

Page Numbers: A97

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ISSN: 1445-1433

DAY: 10

MONTH: May

YEAR: 2007

Ts20p laparoscopic repair of traumatic diaphragmatic herniae: a case presentation and synthesis of the literature experience. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Ts20p laparoscopic repair of traumatic diaphragmatic herniae: a case presentation and synthesis of the literature experience.

AFFILIATION: Middlemore Hospital, Auckland, New Zealand.

Country: Australia

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MEDLINETA: ANZ J Surg

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