5,448 results match your criteria Diaphragmatic Injuries


Combined thoracoabdomial injury: Case report.

Ann Med Surg (Lond) 2020 Aug 26;56:149-151. Epub 2020 Jun 26.

Osh State University, International Medical Faculty, Department of Anatomy, Histology and Normal Physiology, Jolon Mamytov Campus, 723500, Osh, Kyrgyzstan.

Introduction: Combined thoracoabdominal injuries are the most severe case in the medical practice. Bilateral injuries are rare case in patients and just few cases reported in literature. Diaphragm traumas and pneumothorax are defined as severe trauma leading to injuries of thoracic and abdominal organs. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.06.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330147PMC

Imaging evaluation of diaphragmatic injuries: Improving interpretation accuracy.

Eur J Radiol 2020 Jun 20;130:109134. Epub 2020 Jun 20.

Department of Diagnostic Radiology, University of Miami - Leonard Miller School of Medicine, Jackson Memorial Hospital & Ryder Trauma Center, Miami, FL, USA. Electronic address:

Diaphragmatic Injuries (DIs) remain a challenging diagnosis with potential catastrophic delayed complications. A high degree of suspicion in every case of severe blunt thoracoabdominal trauma or penetrating thoracoabdominal injury is essential. This review will present the evidence and controversies on this topic providing a practical tutorial for radiologists hoping to improve their interpretive accuracy for both blunt and penetrating DIs. Read More

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http://dx.doi.org/10.1016/j.ejrad.2020.109134DOI Listing

Contemporary analysis of phrenic nerve injuries following cryoballoon-based pulmonary vein isolation: A single-centre experience with the systematic use of compound motor action potential monitoring.

PLoS One 2020 25;15(6):e0235132. Epub 2020 Jun 25.

Department of Cardiac Electrophysiology, Heart and Vascular Centre, University Hospital Hamburg Eppendorf, Hamburg, Germany.

Background: Phrenic nerve injury (PNI) remains one of the most frequent complications during cryoballoon-based pulmonary vein isolation (CB-PVI). Since its introduction in 2013, the use of compound motor action potential (CMAP) for the prevention of PNI during CB-PVI is increasing; however, systematic outcome data are sparse.

Methods: The CMAP technique was applied in conjunction with abdominal palpation during pacing manoeuvres (10 mV, 2 ms) from the superior vena cava for 388 consecutive patients undergoing CB-PVI between January 2015 and May 2017 at our tertiary arrhythmia centre. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235132PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316283PMC

Temporizing Life-Threatening Abdominal-Pelvic Hemorrhage Using Proprietary Devices, Manual Pressure, or a Single Knee: An Integrative Review of Proximal External Aortic Compression and Even "Knee BOA".

J Spec Oper Med 2020 ;20(2):110-114

Introduction: Abdominal-pelvic hemorrhage (i.e., originates below the diaphragm and above the inguinal ligaments) is a major cause of death. Read More

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January 2020

Diaphragmatic injury a hidden issue for divers following trauma: Case report.

Diving Hyperb Med 2020 Jun;50(2):178-180

Hyperbaric Medicine Unit, Fiona Stanley Hospital, Fremantle, Western Australia.

Occult diaphragmatic injury was uncovered in a patient who returned to scuba diving after a traumatic injury. Diaphragmatic injury can be a difficult diagnosis in the setting of trauma and a significant number of injuries are missed on the initial presentation. This has potential implications to those wishing to return to diving after trauma, and diving doctors must maintain a high degree of suspicion for such injuries. Read More

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http://dx.doi.org/10.28920/dhm50.2.178-180DOI Listing

Traumatic diaphragmatic rupture successfully managed in 4-year-old patient: Case report and literature review.

Int J Surg Case Rep 2020 Jun 11;72:237-240. Epub 2020 Jun 11.

Department of Surgery, Kendall Regional Medical Center, Miami, FL, USA; University of South Florida, Tampa, FL, USA.

Introduction: Traumatic diaphragmatic ruptures are rare injuries in the pediatric population that can present with dyspnea, abdominal pain, or even be asymptomatic.

Case Presentation: A 4-year-old boy presents to our Level 1 Pediatric Trauma Center after being hit by a car. He presented awake and alert but with low oxygen saturations and chief complaint of left sided abdominal and chest pain. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300228PMC

Awake Emergency Department Thoracoscopic Investigation of Penetrating Diaphragmatic Injuries: A Novel Minimally Invasive Technique of Diagnosis.

J Laparoendosc Adv Surg Tech A 2020 May 22. Epub 2020 May 22.

Department of General Surgery, Sefako Makgatho Health Sciences University, Pretoria, South Africa.

The diagnosis of occult penetrating diaphragmatic trauma remains challenging, with conventional imaging offering inadequate accuracy for diagnosis. Minimally invasive surgical options for evaluating the diaphragm conventionally require general anesthesia. We propose a technique for evaluating the diaphragm via awake thoracoscopy in the emergency department. Read More

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http://dx.doi.org/10.1089/lap.2020.0232DOI Listing

The role of diagnostic laparoscopy for trauma at a high-volume level one center.

Surg Endosc 2020 Jun 4. Epub 2020 Jun 4.

Department of Surgery, Emory University School of Medicine, 525 Glen Iris Dr. NE #2532, Atlanta, GA, 30308, USA.

Background: The role of minimally invasive surgery in trauma has continued to evolve over the past 20 years. Diagnostic laparoscopy (DL) has become increasingly utilized for the diagnosis and management of both blunt and penetrating injuries.

Objective: While the safety and feasibility of laparoscopy has been established for penetrating thoracoabdominal trauma, it remains a controversial tool for other injury patterns due to the concern for complications and missed injuries. Read More

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http://dx.doi.org/10.1007/s00464-020-07687-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7271957PMC

Combat Thoracic Surgery in Iraq and Afghanistan: 2002-2016.

J Trauma Acute Care Surg 2020 May 26. Epub 2020 May 26.

Joint Trauma System.

Background: Thoracic surgery constitutes 2.5% of surgical procedures performed in theater, but the skills required are increasingly foreign to military surgeons. This study examines thoracic surgical workload in Iraq and Afghanistan to help define surgical training gaps. Read More

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http://dx.doi.org/10.1097/TA.0000000000002800DOI Listing

Rhinoceros-related delayed traumatic diaphragmatic rupture.

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):486-488

Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain-United Arab Emirates.

Animal-related injuries should be analyzed based on the behavior and anatomy of the attacking animal. Rhinoceros-related injuries in humans are extremely rare. Hereby, we report a life-threatening traumatic diaphragmatic hernia in a woman who presented three years after a rhinoceros gored her chest. Read More

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http://dx.doi.org/10.14744/tjtes.2019.73857DOI Listing

The role of VATS in the diagnosis and treatment of diaphragmatic injuries after penetrating thoracic traumas.

Ulus Travma Acil Cerrahi Derg 2020 May;26(3):469-474

Department of Thoracic Surgery, Trakya University Faculty of Medicine, Edirne-Turkey.

Background: Diaphragmatic injuries, which can be seen after penetrating thoracic traumas, have some difficulties in diagnosis. Undiagnosed small diaphragmatic lacerations may lead to serious health problems. This study aims to evaluate the role of VATS (Video Assisted Thoracoscopic Surgery) in the diagnosis and treatment of diaphragmatic injuries after penetrating thoracic traumas. Read More

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http://dx.doi.org/10.14744/tjtes.2019.02682DOI Listing

A delayed presentation of traumatic right hemidiaphragm injury repaired via a laparoscopic approach: A case report.

Ann Med Surg (Lond) 2020 May 25;53:16-19. Epub 2020 Mar 25.

Oesophagogastric Unit, Flinders Medical Centre, Adelaide, Australia.

Introduction: Diaphragmatic injury is a rare clinical entity which presents a diagnostic and therapeutic challenge. It is three times more common following blunt trauma than penetrating trauma and results in larger tears. A high index of suspicion is required to diagnose diaphragmatic injury. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.03.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139134PMC

Loss of Roundabout Guidance Receptor 2 (Robo2) in Podocytes Protects Adult Mice from Glomerular Injury by Maintaining Podocyte Foot Process Structure.

Am J Pathol 2020 04 24;190(4):799-816. Epub 2020 Mar 24.

Renal Section, Department of Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts; Department of Pathology and Laboratory Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts. Electronic address:

Roundabout guidance receptor 2 (ROBO2) plays an important role during early kidney development. ROBO2 is expressed in podocytes, inhibits nephrin-induced actin polymerization, down-regulates nonmuscle myosin IIA activity, and destabilizes kidney podocyte adhesion. However, the role of ROBO2 during kidney injury, particularly in mature podocytes, is not known. Read More

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http://dx.doi.org/10.1016/j.ajpath.2019.12.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217334PMC
April 2020
4.591 Impact Factor

Is the minimally invasive trauma surgeon the next (r)evolution of trauma surgery? Indications and outcomes of diagnostic and therapeutic trauma laparoscopy in a level 1 trauma centre.

Updates Surg 2020 Jun 26;72(2):503-512. Epub 2020 Mar 26.

Department of Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, Cambridge, UK.

The aim of this study was to evaluate the trend in use, feasibility and safety of laparoscopy in a single level 1 European trauma centre. Laparoscopy in abdominal trauma is gaining acceptance as a diagnostic and a therapeutic tool as it reduces surgical invasiveness and may reduce post-operative morbidity. All trauma patients who underwent a laparoscopic procedure between January 2013 and December 2017 were retrospectively analysed. Read More

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http://dx.doi.org/10.1007/s13304-020-00739-0DOI Listing

Diagnosis of drowning using postmortem computed tomography combined with endoscopic autopsy: A case report.

Medicine (Baltimore) 2020 Mar;99(11):e19182

Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai.

Rationale: Postmortem forensic imaging technologies provide a noninvasive/minimally invasive approach for imaging of internal organ structures of the human body to detect injuries, diseases, and other morphologic changes. Currently, postmortem forensic imaging methods have been widely used in determination of the cause of death. However, these methods do not allow histologic examinations. Read More

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http://dx.doi.org/10.1097/MD.0000000000019182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220088PMC

Thoraco-abdominal impalement injury with two construction ironbars - A rare case report.

Int J Surg Case Rep 2020;68:274-276. Epub 2020 Mar 13.

Rajiv Gandhi Medical College, Thane, Mumbai, India.

Introduction: The work has been reported in line with the SCARE criteria. Thoracoabdominal impalement injuries are uncommon and very few cases have been reported. Impalement injuries result when a rigid object penetrates and remains lodged within the body. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.02.044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7154314PMC

Unravelling the Mysteries of Traumatic Diaphragmatic Injury: An Up-to-Date Review.

Can Assoc Radiol J 2020 Aug 11;71(3):313-321. Epub 2020 Mar 11.

Department of Radiology, Vancouver General Hospital/University of British Colombia, Vancouver, British Colombia, Canada.

Traumatic diaphragmatic injury (TDI) is an underdiagnosed condition that has recently increased in prevalence due to its association with automobile collisions. The initial injury is often obscured by concurrent thoracic and abdominal injuries. Traumatic diaphragmatic injury itself is rarely lethal at initial presentation, however associated injuries and complications of untreated TDI such as herniation and strangulation of abdominal viscera have serious clinical consequences. Read More

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http://dx.doi.org/10.1177/0846537120905133DOI Listing

Dual-Energy CT: A Paradigm Shift in Acute Traumatic Abdomen.

Can Assoc Radiol J 2020 Aug 11;71(3):371-387. Epub 2020 Mar 11.

Emergency and Trauma Radiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.

Abdominal trauma, one of the leading causes of death under the age of 45, can be broadly classified into blunt and penetrating trauma, based on the mechanism of injury. Blunt abdominal trauma usually results from motor vehicle collisions, fall from heights, assaults, and sports and is more common than penetrating abdominal trauma, which is usually seen in firearm injuries and stab wounds. In both blunt and penetrating abdominal trauma, an optimized imaging approach is mandatory to exclude life-threatening injuries. Read More

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http://dx.doi.org/10.1177/0846537120905301DOI Listing
August 2020
0.584 Impact Factor

Development of Bilateral Heterotopic Ossification After Survival of Life Threatening Purpura Fulminans.

Cureus 2020 Jan 21;12(1):e6731. Epub 2020 Jan 21.

Plastic Surgery, The Johns Hopkins University School of Medicine, Baltimore, USA.

Heterotopic ossification has been reported in patients who have undergone traumatic amputations, burn injuries, and total hip arthroplasty; however, the incidence of heterotopic ossification following purpura fulminans has only been reported in one case with unilateral involvement. Here we present a bilateral lower extremity case of heterotopic ossification as sequelae of purpura fulminans.  A 34-year-old male smoker with a past medical history of stab wounds to the chest and abdomen requiring emergent exploratory laparotomy, diaphragmatic repair, and splenectomy 15 years ago presented to the emergency department with a rapid onset of high fevers, chills and myalgia. Read More

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http://dx.doi.org/10.7759/cureus.6731DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034744PMC
January 2020

Accuracy of Preoperative MDCT in Patients With Penetrating Abdominal and Pelvic Trauma.

Can Assoc Radiol J 2020 May 22;71(2):231-237. Epub 2020 Jan 22.

Department of Diagnostic and Emergency Radiology, McMaster University, Hamilton General Hospital, Hamilton, Ontario, Canada.

Purpose: This study aims to evaluate the overall diagnostic accuracy of preoperative multidetector computed tomography (MDCT) in penetrating abdominal and pelvic injuries (PAPI).

Method And Materials: We used our hospitals' trauma registry to retrospectively identify patients with PAPI from January 1, 2006, to December 31, 2016. Only patients who had a 64-MDCT scan at presentation and subsequently underwent laparotomy or laparoscopy were included in our study cohort. Read More

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http://dx.doi.org/10.1177/0846537119888375DOI Listing

Thoraco-abdominal impalement injury with two construction iron bars - A rare case report.

Int J Surg Case Rep 2020 27;67:80-81. Epub 2020 Jan 27.

Rajiv Gandhi Medical College, Thane, Mumbai, India.

Introduction: The work has been reported in line with the SCARE criteria. Thoracoabdominal impalement injuries are uncommon and very few cases have been reported. Impalement injuries result when a rigid object penetrates and remains lodged within the body. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.01.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7005472PMC
January 2020

Resolution of Chronic Shoulder Pain after Repair of a Posttraumatic Diaphragmatic Hernia: A 22-Year Delay in Diagnosis and Treatment.

Case Rep Orthop 2020 6;2020:7984936. Epub 2020 Jan 6.

Tanner Clinic, Layton, Utah, USA.

Diagnosing traumatic diaphragmatic rupture (TDR) due to penetrating rib fractures is challenging because the lesions are often too small to be detected and may present years after injury. Patients with delays in diagnosis of TDR rarely present with orthopaedic-related complaints of pain. We report the case of a 52-year-old female who presented with chronic left shoulder pain following a motor vehicle accident (MVA). Read More

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http://dx.doi.org/10.1155/2020/7984936DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970479PMC
January 2020

Percutaneous Simple Lead Traction Is a Feasible and Effective Method for Right Ventricular Lead Perforations.

Int Heart J 2020 Jan 17;61(1):54-59. Epub 2020 Jan 17.

Department of Cardiology, Saitama Medical University International Medical Center.

Right ventricular (RV) lead perforations are relatively rare but a potentially life-threatening complication of surgical implantations of cardiac implantable electronic devices (CIEDs). The result of percutaneous simple lead traction after lead perforations in the Japanese population has not been well clarified.We retrospectively studied 1359 patients (pacemakers [PMs], 973 patients; implantable cardioverter defibrillators [ICD], 386 patients) from April 2007 to December 2018 who underwent initial CIED implantation. Read More

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http://dx.doi.org/10.1536/ihj.19-326DOI Listing
January 2020

Factors affecting mortality in patients with traumatic diaphragmatic injury: An analysis of 92 cases.

Ulus Travma Acil Cerrahi Derg 2020 Jan;26(1):80-85

Department of General Surgery, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul-Turkey.

Background: This study aims to investigate the factors associated with mortality in patients with traumatic diaphragmatic rupture (TDR).

Methods: The records of patients who were operated on at a single hospital with the indication of blunt or penetrating thoracoabdominal injuries between January 2010 and June 2018 and who were perioperatively diagnosed with a diaphragmatic injury were evaluated retrospectively. The details of demographic characteristics, the type and localization of the trauma, presence and number of associated organ injuries, vital signs at admission, time from admission until surgery, type of operation, type of diaphragmatic repair, therapeutic approach, complications and Injury Severity Score (ISS) were analyzed. Read More

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http://dx.doi.org/10.14744/tjtes.2019.82930DOI Listing
January 2020

Static and Dynamic Transpulmonary Driving Pressures Affect Lung and Diaphragm Injury during Pressure-controlled versus Pressure-support Ventilation in Experimental Mild Lung Injury in Rats.

Anesthesiology 2020 02;132(2):307-320

From the Laboratory of Pulmonary Investigation, Carlos Chagas Filho Biophysics Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (E.F.P., R.S.S., M.A.A., L.A.M., G.A.P., J.D.A.M., A.C.F.C., M.V.S.F., P.R.M.R., P.L.S.) Department of Pathology, School of Medicine, University of São Paulo, São Paulo, Brazil (V.L.C.) Pulmonary Engineering Group, Department of Anesthesiology and Intensive Care Therapy, University Hospital Carl Gustav Carus, Dresden University of Technology, Dresden, Germany (M.G.D.A.) Department of Integrated Surgical and Diagnostic Sciences, University of Genoa, Genoa, Italy (P.P.) Institute of Admission and Care of a Scientific Nature, San Martino Policlinico Hospital, Genoa, Italy (P.P.).

Background: Pressure-support ventilation may worsen lung damage due to increased dynamic transpulmonary driving pressure. The authors hypothesized that, at the same tidal volume (VT) and dynamic transpulmonary driving pressure, pressure-support and pressure-controlled ventilation would yield comparable lung damage in mild lung injury.

Methods: Male Wistar rats received endotoxin intratracheally and, after 24 h, were ventilated in pressure-support mode. Read More

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http://dx.doi.org/10.1097/ALN.0000000000003060DOI Listing
February 2020

Lung-protective ventilation worsens ventilator-induced diaphragm atrophy and weakness.

Respir Res 2020 Jan 10;21(1):16. Epub 2020 Jan 10.

Emergency Center, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan, 430071, Hubei, China.

Background: Lung-protective ventilation (LPV) has been found to minimize the risk of ventilator-induced lung injury (VILI). However, whether LPV is able to diminish ventilator-induced diaphragm dysfunction (VIDD) remains unknown. This study was designed to test the hypothesis that LPV protects the diaphragm against VIDD. Read More

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http://dx.doi.org/10.1186/s12931-020-1276-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6954632PMC
January 2020

Traumatic Diaphragmatic Rupture with Transthoracic Organ Herniation: A Case Report and Review of Literature.

Am J Case Rep 2020 Jan 3;21:e919442. Epub 2020 Jan 3.

Department of Surgery, Kendall Regional Medical Center, Miami, FL, USA.

BACKGROUND Diaphragmatic rupture is a rare pathology that reported in less than 0.5% of all trauma cases, with signs and symptoms that can easily be misdiagnosed. Clinicians must maintain a high index of suspicion to correctly diagnose and manage this pathology. Read More

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http://dx.doi.org/10.12659/AJCR.919442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6977640PMC
January 2020

[Diaphragmatic Injury Due to Blunt Trauma Diagnosed by a Diagnostic Thoracoscopy;Report of a Case].

Kyobu Geka 2019 Dec;72(13):1110-1113

Department of General Thoracic Surgery and Emergency Care Center, Tokyo Metropolitan Hiroo General Hospital, Tokyo, Japan.

We performed an exploratory thoracoscopy for a suspected diaphragm injury caused by a blunt-force chest trauma. A male patient in his fifties involved in a traffic accident and was transported by ambulance to our hospital. Upon arrival, his vital signs were stable, however, he was diagnosed as having fractures of the right tibia and fibula, multiple rib fractures and a slight right hemothorax. Read More

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December 2019

Neurally adjusted ventilatory assist mitigates ventilator-induced diaphragm injury in rabbits.

Respir Res 2019 Dec 23;20(1):293. Epub 2019 Dec 23.

Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA, 90027, United States.

Background: Ventilator-induced diaphragmatic dysfunction is a serious complication associated with higher ICU mortality, prolonged mechanical ventilation, and unsuccessful withdrawal from mechanical ventilation. Although neurally adjusted ventilatory assist (NAVA) could be associated with lower patient-ventilator asynchrony compared with conventional ventilation, its effects on diaphragmatic dysfunction have not yet been well elucidated.

Methods: Twenty Japanese white rabbits were randomly divided into four groups, (1) no ventilation, (2) controlled mechanical ventilation (CMV) with continuous neuromuscular blockade, (3) NAVA, and (4) pressure support ventilation (PSV). Read More

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http://dx.doi.org/10.1186/s12931-019-1265-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6929282PMC
December 2019

Acute and chronic traumatic diaphragmatic hernia: 10 years' experience.

PLoS One 2019 12;14(12):e0226364. Epub 2019 Dec 12.

Trauma centre, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Controversy persists regarding many aspects of traumatic diaphragmatic hernia (TDH). We aimed to understand why some traumatic diaphragmatic injuries present with chronic hernia and to evaluate diagnosis and treatment options. Fifty acute and 19 chronic TDH patients were diagnosed and treated at our institution over a 10-year period. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0226364PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6907826PMC
March 2020
3.234 Impact Factor

Cyanoacrylate for Safer Mesh Fixation During Laparoscopic Repair of Morgagni Hernia.

Ann Thorac Surg 2020 04 27;109(4):e305-e307. Epub 2019 Nov 27.

Department of General and Digestive Surgery, Hospital Platón, International University of Catalunya, Barcelona, Spain.

The surgical repair of all Morgagni hernias is recommended to avoid the risk of strangulation of hernia contents. Mesh augmentation repair can reduce the risk of recurrence, but severe injuries have been reported when tacks are used for mesh fixation to the diaphragm. Cyanoacrylate can provide reliable mesh fixation, and in addition, its application is easy and quick by either the transthoracic or laparoscopic approach. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.10.019DOI Listing

Doxorubicin-induced oxidative stress differentially regulates proteolytic signaling in cardiac and skeletal muscle.

Am J Physiol Regul Integr Comp Physiol 2020 02 27;318(2):R227-R233. Epub 2019 Nov 27.

Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, Florida.

Doxorubicin (DOX) is a highly effective antineoplastic agent used in cancer treatment. Unfortunately, clinical use of DOX is limited due to the development of dose-dependent toxicity to cardiac and respiratory (i.e. Read More

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http://dx.doi.org/10.1152/ajpregu.00299.2019DOI Listing
February 2020

Anesthetic management of the diaphragmatic pacemaker placement surgery. Our experience in the Institut Guttmann.

Rev Esp Anestesiol Reanim 2019 Dec 20;66(10):497-505. Epub 2019 Nov 20.

Servicio de Anestesiología y Reanimación, Hospital Clínic, Barcelona, España.

Background: The diaphragm pacemaker (DP) has proven its utility in replacing mechanical ventilation in patients with chronic spinal cord injury (SCI) and amyotrophic lateral sclerosis (ALS). The DP improves patient quality of life and reduces morbidity and mortality and their associated health care costs. The anesthetic management of these patients and the particularities of the surgical procedure are challenging. Read More

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http://dx.doi.org/10.1016/j.redar.2019.10.005DOI Listing
December 2019

Diaphragmatic paralysis after phrenic nerve injury in newborns.

J Pediatr Surg 2020 Feb 5;55(2):240-244. Epub 2019 Nov 5.

Ann and Robert H. Lurie Children's Hospital of Chicago, Division of Pediatric Surgery, Chicago, IL, USA; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. Electronic address:

Background: Phrenic nerve injury (PNI) from birth trauma is a recognized phenomenon, generally occurring with ipsilateral brachial plexus palsy (BPP). In severe cases, PNI results in diaphragm paresis (DP) and respiratory insufficiency. Surgical diaphragmatic plication (SDP) is a potential management strategy for patients with PNI and DP, but timing and outcomes associated with SDP have not been rigorously studied. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.10.038DOI Listing
February 2020

Mandatory Laparotomy in Penetrating Abdominal Injuries with Omental Evisceration: Experience in a Major Trauma Center in the Philippines.

Cureus 2019 Sep 18;11(9):e5688. Epub 2019 Sep 18.

Surgery, Philippine General Hospital, Manila, PHL.

Background: Omental evisceration due to abdominal stab injuries connotes peritoneal penetration and translates to around 70% risk of intra-abdominal injury. Such cases are being managed with mandatory laparotomy at the Philippine General Hospital. This study aims to review the patient profile and laparotomy outcomes in such cases. Read More

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http://dx.doi.org/10.7759/cureus.5688DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823020PMC
September 2019

Factors affecting mortality in traumatic diaphragm ruptures.

Ulus Travma Acil Cerrahi Derg 2019 Oct;25(6):567-574

Department of General Surgery, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara-Turkey.

Background: Traumatic diaphragm ruptures (TDR) are rarely seen. Although TDR does not cause morbidity in the acute period, undiagnosed TDR may cause clinical states, such as herniation, strangulation, pneumonia, pleural effusion, empyema, and cardiac tamponade, which have high morbidity and mortality rates in the late period. This study aims to evaluate the epidemiology, clinical characteristics, diagnosis and treatment methods of TDR encountered in thoracoabdominal trauma and to identify the factors affecting mortality. Read More

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http://dx.doi.org/10.14744/tjtes.2019.58133DOI Listing
October 2019

A novel non-invasive method to detect excessively high respiratory effort and dynamic transpulmonary driving pressure during mechanical ventilation.

Crit Care 2019 11 6;23(1):346. Epub 2019 Nov 6.

Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.

Background: Excessive respiratory muscle effort during mechanical ventilation may cause patient self-inflicted lung injury and load-induced diaphragm myotrauma, but there are no non-invasive methods to reliably detect elevated transpulmonary driving pressure and elevated respiratory muscle effort during assisted ventilation. We hypothesized that the swing in airway pressure generated by respiratory muscle effort under assisted ventilation when the airway is briefly occluded (ΔP) could be used as a highly feasible non-invasive technique to screen for these conditions.

Methods: Respiratory muscle pressure (P), dynamic transpulmonary driving pressure (ΔP, the difference between peak and end-expiratory transpulmonary pressure), and ΔP were measured daily in mechanically ventilated patients in two ICUs in Toronto, Canada. Read More

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http://dx.doi.org/10.1186/s13054-019-2617-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836358PMC
November 2019
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Traumatic right diaphragmatic rupture with hepatothorax in Ghana: two rare cases.

Pan Afr Med J 2019 26;33:256. Epub 2019 Jul 26.

Department of Emergency Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

A rare case series of traumatic right diaphragmatic rupture with hepatothorax in Ghana is reported. The first case involved a middle-aged man who sustained a penetrating chest injury following an unprovoked attack by a wild bull. The second case was a young woman who sustained a blunt chest injury after being knocked down by a moving vehicle whiles crossing the road. Read More

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http://dx.doi.org/10.11604/pamj.2019.33.256.17061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814919PMC
November 2019

Migration of a Retained Guidewire Puncturing Multiple Organs in a Remote Australian Dialysis Patient.

J Vasc Interv Radiol 2019 Dec 1;30(12):2041-2043. Epub 2019 Nov 1.

Departments of Diagnostic and Interventional Radiology, Royal Perth Hospital, Wellington Street, Perth 6000, Western Australia; Department of Medical Imaging, Fiona Stanley Hospital, Murdoch, Western Australia.

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http://dx.doi.org/10.1016/j.jvir.2019.08.023DOI Listing
December 2019
3 Reads

Traumatic renal injury: Five-year experience at a major trauma centre in South Africa.

Injury 2020 Jan 19;51(1):39-44. Epub 2019 Oct 19.

Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.

Background: This study is intended to assess the current optimal management of traumatic renal injuries (TRIs), with a focus on high-grade and penetrating injuries.

Methods: The Pietermaritzburg Metropolitan Trauma Service registry was interrogated retrospectively for patients managed for TRI between 1 January 2012 and 31 December 2016.

Results: Of 13,315 inured patients treated by the PMTS, 223 (1. Read More

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http://dx.doi.org/10.1016/j.injury.2019.10.034DOI Listing
January 2020
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Early use of an implantable diaphragm pacing stimulator for a child with severe acute flaccid myelitis-a case report.

Spinal Cord Ser Cases 2019 17;5:67. Epub 2019 Jul 17.

1International Center for Spinal Cord Injury, Kennedy Krieger Institute, Baltimore, MD USA.

Introduction: Acute Flaccid Myelitis (AFM) is a recently recognized, polio-like illness of children that can be functionally devastating. Severe cases can lead to ventilatory failure. Incomplete phrenic nerve injuries in other populations has been shown to respond to diaphragmatic stimulation. Read More

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http://dx.doi.org/10.1038/s41394-019-0207-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786381PMC
July 2019
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A Rare Case of Acquired Transthoracic Littre's Hernia.

Surg J (N Y) 2019 Oct 15;5(4):e150-e153. Epub 2019 Oct 15.

Department of Surgery, Mater Dei Hospital, Triq Dun Karm, Msida MSD, Malta.

 The Littre hernia is a rare complication of Meckel's diverticulum. Meckel's diverticulum is vestigial remnant of the omphalomesenteric duct occurring in approximately 2% of the general population with an estimated 4 to 16% risk of complications. Usual sites of the Littre hernia include inguinal (50%), umbilical (20%), and femoral (20%). Read More

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http://dx.doi.org/10.1055/s-0039-1696727DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6794146PMC
October 2019
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Value of Ultrasonography in Detection of Diaphragmatic Injuries Following Thoracoabdominal Penetrating Trauma; a Diagnostic Accuracy Study.

Arch Acad Emerg Med 2019 18;7(1):e45. Epub 2019 Aug 18.

Department of General Surgery, Hamadan University of Medical Sciences, Hamadan, Iran.

Introduction: Diagnosis of diaphragmatic rupture following thoracoabdominal penetrating trauma is very challenging in asymptomatic patients with stable vital signs. This study aimed to evaluate the diagnostic accuracy of focused assessment with sonography for trauma (FAST) in this regard.

Methods: This cross-sectional study was performed on patients referring to emergency department due to left thoracoabdominal stab wound during 2 years. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785213PMC
August 2019
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Avulsion Injuries of Right Hemidiaphragm: Report of Two Case Scenarios with Different Outcomes.

Niger J Surg 2019 Jul-Dec;25(2):223-225

General Surgery Department, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India.

Avulsion injuries of domes of the diaphragm are rare injuries and may occur following lateral thoracoabdominal trauma. We share our experience of two cases of avulsion injuries of the right dome of the diaphragm. Our first case presented within a week following blunt trauma to the abdomen, and on thoracotomy, an effective repair was performed by restoring attachment of the diaphragm to the parietes. Read More

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http://dx.doi.org/10.4103/njs.NJS_41_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6771187PMC
October 2019
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