Acute traumatic diaphragmatic ruptures: A retrospective study of 48 cases

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dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridYILMAZ, Mehmet/0000-0002-5710-5263
dc.authoridErsan, Veysel/0000-0002-1510-0288;
dc.authorwosidPiskin, Turgut/HKV-8614-2023
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidYILMAZ, Mehmet/HKM-4739-2023
dc.authorwosidErsan, Veysel/AAB-9595-2020
dc.authorwosidYilmaz, Mehmet/AAF-6095-2021
dc.contributor.authorDirican, Abuzer
dc.contributor.authorYilmaz, Mehmet
dc.contributor.authorUnal, Bulent
dc.contributor.authorPiskin, Turgut
dc.contributor.authorErsan, Veysel
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:35:37Z
dc.date.available2024-08-04T20:35:37Z
dc.date.issued2011
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose. Traumatic diaphragmatic rupture (TDR) is associated with high rates of morbidity and mortality, and the preoperative diagnosis is difficult. Methods. Forty-eight patients with TDR were treated in our department between January 2000 and May 2009. The cause, location, size of rupture, associated morbidity and mortality, surgical material for repair, and predictive factors for overall outcome were evaluated. Results. There were 41 male patients (85%) and 7 female patients (15%) with a mean age of 33.8 years (range 17-69 years). Blunt trauma accounted for the injuries of 15 patients (31%) and 33 patients (68%) had penetrating injuries. The diagnosis was preoperatively established in 12 patients (25%) with a plain chest X-ray or/and computed tomography. The location of rupture was on the left side of the diaphragm in 35 patients (73%), on the right side in 10 (21%), and was bilateral in 3 patients (6%). Traumatic diaphragmatic rupture was repaired with interrupted nonabsorbable sutures or polypropylene mesh (8 patients). Postoperative complications were observed in 18 patients (38%). Overall mortality was observed in 7 patients (15%). The mortality was associated with hemorrhagic shock (P = 0.002), a high injury severity score (P = 0.002), and having additional injuries (P = 0.015). Conclusion. The outcome of the patients is associated with presence of hemorrhagic shock, a high injury severity score, and additional organ injury.en_US
dc.identifier.doi10.1007/s00595-010-4518-3
dc.identifier.endpage1356en_US
dc.identifier.issn0941-1291
dc.identifier.issn1436-2813
dc.identifier.issue10en_US
dc.identifier.pmid21922356en_US
dc.identifier.scopus2-s2.0-80855140869en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1352en_US
dc.identifier.urihttps://doi.org/10.1007/s00595-010-4518-3
dc.identifier.urihttps://hdl.handle.net/11616/95484
dc.identifier.volume41en_US
dc.identifier.wosWOS:000294961000004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofSurgery Todayen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTraumatic diaphragmatic ruptureen_US
dc.subjectDiaphragmatic injuryen_US
dc.subjectInjury Severity Scoreen_US
dc.titleAcute traumatic diaphragmatic ruptures: A retrospective study of 48 casesen_US
dc.typeArticleen_US

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