5,741 results match your criteria Diaphragmatic Injuries

Is it Necessary to Stabilize Every Fracture in Patients with Serial Rib Fractures in Blunt Force Trauma?

Front Surg 2022 9;9:845494. Epub 2022 Jun 9.

Department for Cardiothoracic Surgery, Medical Faculty, University Hospital Augsburg, Augsburg, Germany.

Introduction: Management of traumatic rib fractures is subject of controversial discussions. Rib fractures are common, especially after traffic accidents and falls. There is no consensus on whether and how many rib fractures need reconstruction. Read More

View Article and Full-Text PDF

Case Report: Rectal Perforation Secondary to a Toothbrush in an Elderly Man.

Front Surg 2022 10;9:921843. Epub 2022 Jun 10.

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.

Rectal foreign bodies often constitute an arduous diagnosis and perplexing management. A 72-year-old gentleman who is mentally sound was brought to the emergency department for severe epigastric pain of a 1-week duration. On examination, he was pyrexial and in sepsis. Read More

View Article and Full-Text PDF

Porcine spleen as a model organ for blunt injury impact tests: An experimental and histological study.

Anat Histol Embryol 2022 Jun 25. Epub 2022 Jun 25.

European Centre of Excellence NTIS, Faculty of Applied Sciences, University of West Bohemia, Pilsen, Czech Republic.

The spleen is a large and highly vascularized secondary lymphatic organ. Spleen injuries are among the most frequent trauma-related injuries in the abdominal region. The aims of the study were to assess the volume fractions of the main splenic tissue components (red pulp, white pulp, trabeculae and reticular fibres) and to determine the severity of splenic injury due to the experimental impact test. Read More

View Article and Full-Text PDF

Musculoskeletal and Esthetic Complications after Neonatal Thoracotomy: Revisited.

J Indian Assoc Pediatr Surg 2022 May-Jun;27(3):293-296. Epub 2022 May 12.

Department of Pediatric Surgery, Atal Bihari Vajpayee Institute of Medical Sciences, Dr. Ram Manohar Lohia Hospital, New Delhi, India.

Aim: The aim is to study the complications of neonatal thoracotomy and its preventive measures.

Methods: We retrospectively reviewed 53 neonates who underwent thoracotomy from January 2017 to December 2019 for a period of 3 years. Patient demographic data, primary disease for which they underwent thoracotomy, postoperative complications (immediate and delayed) during follow-up were documented. Read More

View Article and Full-Text PDF

[Clinical anatomical study on the treatment of tarsal tunnel syndrome with four-point vertical acupotomy].

Zhongguo Gu Shang 2022 Jun;35(6):543-7

Department of Acupuncture, China-Japan Friendship Hospital, Beijing 100029, China.

Objective: To explore safety and accuracy of four-point acupotomy for the treatment of tarsal tunnel syndrome regarding release of ankle tunnel flexor retinaculum to provide an anatomical basis of clinical treatment.

Methods: Twenty-nine adult specimens (15 males and 14 females) fixed with 10% formalin, aged from 47 to 98 years old with an average age of (81.10±11. Read More

View Article and Full-Text PDF

Can invasive diagnostic methods be reduced by magnetic resonance imaging in the diagnosis of diaphragmatic injuries in left thoracoabdominal penetrating injuries?

J Minim Access Surg 2022 Jul-Sep;18(3):431-437

Department of General Surgery, Istanbul University Faculty of Medicine, Istanbul, Turkey.

Aim: In this study, we aimed to investigate the effect of magnetic resonance imaging (MRI) in detecting diaphragmatic injury by comparing preoperative computed tomography (CT) and MRI imaging results with diagnostic laparoscopy/thoracoscopy results in patients with left thoracoabdominal penetrating injury. We investigated whether MRI reduces the rate of unnecessary surgery by examining its sensitivity and specificity.

Materials And Methods: Patients with left thoracoabdominal penetrating injuries who applied to the Emergency Surgery Unit of Istanbul University Istanbul Faculty of Medicine between November 2017 and December 2020 were evaluated. Read More

View Article and Full-Text PDF

Implementation of a Mobile Technology-Supported Diaphragmatic Breathing Intervention in Military mTBI With PTSD.

J Head Trauma Rehabil 2022 May-Jun 01;37(3):152-161

SHARE Military Initiative (Ms Wallace, Mr Glickstein, and Dr Gore), Crawford Research Institute (Ms Wallace and Drs Morris and Anderson), Shepherd Center, Atlanta, Georgia; and Department of Sociology, Georgia State University, Atlanta, Georgia (Dr Anderson).

Background: Diaphragmatic breathing is an evidence-based intervention for managing stress and anxiety; however, some military veterans with mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) report challenges to learning and practicing the technique. BreatheWell Wear assists performance of breathing exercises through reminders, biofeedback, and visual, tactile, and auditory guidance.

Objective: To evaluate feasibility of implementing BreatheWell Wear, a mobile smartwatch application with companion smartphone app, as an intervention for stress management in military veterans with mTBI and PTSD. Read More

View Article and Full-Text PDF

Incidence rate and management of diaphragmatic injury during laparoscopic nephrectomies: single-center experience.

J Surg Case Rep 2022 Jun 9;2022(6):rjac127. Epub 2022 Jun 9.

Department of Urology, Umberto I, Nocera Inferiore, Salerno, Italy.

Pneumothorax is a rare complication in laparoscopic renal surgery. However, due to the increasing renal pathologies managed by laparoscopic technique, this infrequent complication is a potential risk. We investigated the incidence rate of this complication in our experience of laparoscopic renal surgery, taking into account the laparoscopic approach, the type of intervention, the character of the pathology (neoplastic or other), the site of the intervention, as well as the localization of the lesion (in case of malignant pathology). Read More

View Article and Full-Text PDF

Life threatening rupture of the diaphragm after Covid 19 pneumonia: a case report.

J Cardiothorac Surg 2022 Jun 7;17(1):145. Epub 2022 Jun 7.

General, Visceral and Transplant Surgery, Medical University of Graz, Auenbruggerplatz 29, 8036, Graz, Austria.

Background: The incidence of diaphragmatic rupture is low; however, it may be life threatening. Normally caused by blunt trauma, some cases are reported after pulmonary infections with extensive coughing. Covid 19 causes pulmonary infections and pneumonia and has been associated with weakening of the diaphragm after prolonged ventilation. Read More

View Article and Full-Text PDF

Biliopleural fistula after penetrating thoracoabdominal injury: A case report.

Int J Surg Case Rep 2022 May 27;94:107126. Epub 2022 Apr 27.

Department of cardiothoracic surgery, Addis Ababa University, Ethiopia.

Introduction: Biliopleural fistula is a rare complication of thoraco-abdominal injury. Due to its rarity, the experience of any one surgeon is minimal, there is a paucity of literature regarding optimal treatment. This case report can be an addition to the existing reports to guide surgeons in better understanding and management of such cases. Read More

View Article and Full-Text PDF

VATS-assisted surgical stabilization of rib fractures in flail chest: 1-year follow-up of 105 cases.

Gen Thorac Cardiovasc Surg 2022 Jun 3. Epub 2022 Jun 3.

Department of Surgery, Zuyderland Medical Center, Heerlen, the Netherlands.

Objectives: Early surgical stabilization of flail chest has been shown to improve chest wall stability and diminish respiratory complications. The addition of video‑assisted thoracoscopic surgery (VATS) can diagnose and manage intrathoracic injuries and evacuate hemothorax. This study analyzed the outcome of our 7-year experience with VATS-assisted surgical stabilization of rib fractures (SSRF) for flail chest. Read More

View Article and Full-Text PDF

Characterization of Phrenic Nerve Response to Pulsed Field Ablation.

Circ Arrhythm Electrophysiol 2022 Jun 1;15(6):e010127. Epub 2022 Jun 1.

Medtronic, Minneapolis, MN (B.H., N.K., N.B., B.O., M.T.S., D.C.S.).

Background: Phrenic nerve palsy is a well-known complication of cardiac ablation, resulting from the application of direct thermal energy. Emerging pulsed field ablation (PFA) may reduce the risk of phrenic nerve injury but has not been well characterized.

Methods: Accelerometers and continuous pacing were used during PFA deliveries in a porcine model. Read More

View Article and Full-Text PDF

Fishbone-induced Pericardial Hemorrhage Resulting in a Misdiagnosis of Acute Myocardial Infarction.

J Coll Physicians Surg Pak 2022 Apr;32(4):S9-S11

Department of Cardiology, The First People's Hospital of Changde City, Changde, China.

Fishbone intake is a common clinical event; but serious complications resulting from the ingestion of fishbones, such as perforations in the stomach, diaphragm, and pericardium and heart lacerations, are rare. Here, we present a case of fishbone-induced pericardial hemorrhage that led to a misdiagnosis of acute myocardial infarction (AMI) since the emergency coronary angiogram showed normal coronaries. However, the patient's circulatory status was not good and an echocardiogram revealed pericardial effusion. Read More

View Article and Full-Text PDF

Blunt thoracic trauma: role of chest radiography and comparison with CT - findings and literature review.

Emerg Radiol 2022 May 21. Epub 2022 May 21.

Department of Radiology and Imaging Sciences, Division of Emergency and Trauma Imaging, Emory University School of Medicine, Atlanta, GA, USA.

In the setting of acute trauma where identification of critical injuries is time-sensitive, a portable chest radiograph is broadly accepted as an initial diagnostic test for identifying benign and life-threatening pathologies and guiding further imaging and interventions. This article describes chest radiographic findings associated with various injuries resulting from blunt chest trauma and compares the efficacy of the chest radiograph in these settings with computed tomography (CT). Common chest radiographic findings in blunt thoracic injuries will be reviewed to improve radiologic identification, expedite management, and improve trauma morbidity and mortality. Read More

View Article and Full-Text PDF

Laparoscopic Versus Laparotomy Surgical Interventions for Trauma Patients with Single Upper Left Quadrant Penetrating Injuries: Analysis of the American College of Surgeons Trauma Quality Improvement Program Dataset.

Am Surg 2022 May 19:31348221101510. Epub 2022 May 19.

Department of Surgery, Division of Trauma and Surgical Critical Care, 23703Ocala Regional Medical Center, Ocala, FL, USA.

Background: We aim to identify patient cohorts where laparoscopy can be safely utilized with comparable or better outcomes to laparotomy among patients with single penetrating LUQ injuries with a hypothesis that compared to laparotomy, laparoscopy may be associated with equal or improved outcomes of low injury severity patients.

Methods: Retrospective review of the ACS-TQP-Participant Use File 2016-2019 dataset. Patients with single LUQ penetrating injuries were included. Read More

View Article and Full-Text PDF

A 15-Year-Old Female Presenting With Traumatic Diaphragmatic Hernia One Year After a Car Accident.

Cureus 2022 Apr 14;14(4):e24141. Epub 2022 Apr 14.

Pediatrics, East Tennessee State University Quillen College of Medicine, Johnson City, USA.

Traumatic diaphragmatic hernia (TDH) is a known complication in patients with abdominal injuries. Delayed TDH, which presents long after the traumatic event, is a rare subset and is often missed upon initial presentation. We discuss a case involving a 15-year-old female who presented with persistent nausea, vomiting, and epigastric pain and was subsequently diagnosed with TDH via chest x-ray, later confirmed by CT scan. Read More

View Article and Full-Text PDF

Resection for Chronic Hepatic Abscess due to Infected Embolization Coils After Liver Injury.

Am Surg 2022 Apr 28:31348221091942. Epub 2022 Apr 28.

Department of Trauma Surgery, Tower Health, 6823Reading Hospital, Reading, PA, USA.

Liver injuries after blunt abdominal trauma are very common. Non-operative approaches to management are now the standard of care for many patients with up to and including grade V liver injuries. However, the long-term complications associated with coil embolization can be challenging to manage. Read More

View Article and Full-Text PDF

Diaphragmatic Activity and Respiratory Function Following C3 or C6 Unilateral Spinal Cord Contusion in Mice.

Biology (Basel) 2022 Apr 6;11(4). Epub 2022 Apr 6.

Inserm, UMR_S1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Sorbonne Université, 75013 Paris, France.

The majority of spinal cord injuries (SCIs) are cervical (cSCI), leading to a marked reduction in respiratory capacity. We aimed to investigate the effect of hemicontusion models of cSCI on both diaphragm activity and respiratory function to serve as preclinical models of cervical SCI. Since phrenic motoneuron pools are located at the C3-C5 spinal level, we investigated two models of preclinical cSCI mimicking human forms of injury, namely, one above (C3 hemicontusion-C3HC) and one below phrenic motoneuron pools (C6HC) in wild-type swiss OF-1 mice, and we compared their effects on respiratory function using whole-body plethysmography and on diaphragm activity using electromyography (EMG). Read More

View Article and Full-Text PDF

Development of Diaphragmatic Hernia in Patients with Penetrating Left Thoracoabdominal Stab Wounds.

World J Surg 2022 Aug 16;46(8):1872-1877. Epub 2022 Apr 16.

Department of General Surgery, Umraniye Training and Research Hospital, Adem Yavuz street No:1 Umraniye, Istanbul, Turkey.

Background: This study aimed to investigate the consequences of repairing versus not repairing diaphragmatic injury caused by penetrating left thoracoabdominal stab wounds.

Methods: Diagnostic laparoscopy was performed to evaluate the left diaphragm in patients with penetrating left thoracoabdominal stab wounds who did not have an indication for emergency laparotomy. Patients who did not consent to laparoscopy were discharged without undergoing surgery. Read More

View Article and Full-Text PDF

Surgical management of traumatic diaphragmatic rupture: ten-year experience in a Teaching Hospital in Ghana.

Kardiochir Torakochirurgia Pol 2022 Mar 24;19(1):28-35. Epub 2022 Mar 24.

Directorate of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Introduction: Diaphragmatic injuries may be associated with thoracoabdominal blunt or penetrating traumas. The diagnosis is often delayed, despite the availability of several medical imaging modalities. The surgical management remains controversial, in terms of the choice of surgical approach and the surgical repair technique. Read More

View Article and Full-Text PDF

Location of liver lacerations resulting from deceleration injuries and a proposal for their classification.

Pol Przegl Chir 2021 Oct;93(0):30-39

Department of Experimental Surgery, Medical University of Lodz, Poland.

<b>Aim:</b> The aim of the study was to verify during forensic autopsies the occurrence of liver lacerations resulting from deceleration traumas in the locations reported in professional literature, and also to check whether they are located near the left coronary ligament and its extension, i.e. the left triangular liver ligament. Read More

View Article and Full-Text PDF
October 2021

Learning Curve of Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy - an Analysis of Critical Perioperative and Surgical Outcomes among 155 Peritoneal Surface Malignancy Patients Treated at a Tertiary Care Cancer Centre.

Clin Oncol (R Coll Radiol) 2022 07 2;34(7):e305-e311. Epub 2022 Apr 2.

Department of Radiodiagnosis, BRA-IRCH, All India Institute of Medical Sciences, New Delhi, India.

Aims: Various factors can influence the learning curve of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). Initiating CRS and HIPEC programmes in low- and middle-income countries is challenging due to resource constraints and limited availability of expertise. We present our experience of CRS and HIPEC from a learning curve perspective among a cohort 155 peritoneal surface malignancy patients. Read More

View Article and Full-Text PDF

Resuscitative endovascular balloon occlusion of the aorta (REBOA) may be superior to resuscitative thoracotomy (RT) in patients with traumatic brain injury (TBI).

Trauma Surg Acute Care Open 2022 16;7(1):e000715. Epub 2022 Mar 16.

Surgery, Orlando Regional Medical Center, Orlando, Florida, USA.

Background: The effects of aortic occlusion (AO) on brain injury are not well defined. We examined the impact of AO by resuscitative endovascular balloon occlusion of the aorta (REBOA) and resuscitative thoracotomy (RT) on outcomes in the setting of traumatic brain injury (TBI).

Methods: Patients sustaining TBI who underwent RT or REBOA in zone 1 (thoracic aorta) from September 2013 to December 2018 were identified. Read More

View Article and Full-Text PDF

Reconstruction of Large Full-Thickness Abdominal Wall Defects Using a Free Functional Latissimus Dorsi Muscle.

Front Surg 2022 17;9:853639. Epub 2022 Mar 17.

Department of Plastic, Reconstructive, Hand and Burn Surgery, München Klinik Bogenhausen, Munich, Germany.

Introduction: The large full-thickness abdominal wall defect has to be treated by considering anatomical and functional requirements. The abdominal wall must regain total physiological function, which means that the full thickness abdominal wall defect must be reconstructed anatomically, not only according to the anatomical requirements but also maintaining the functional dynamic voluntary movement. Defects in the abdominal wall alter respiratory mechanics and can impair the diaphragm function. Read More

View Article and Full-Text PDF

M-Mode Imaging of the Diaphragm in Phrenic Nerve Palsy Due to Birth Trauma.

J Pediatr 2022 Jul 29;246:281-282. Epub 2022 Mar 29.

Department of Pediatrics, Monash University, Melbourne, Australia; Diagnostic Imaging, Monash Health, Clayton, Victoria, Australia.

View Article and Full-Text PDF

Soft Exoskeleton Mimics Human Cough for Assisting the Expectoration Capability of SCI Patients.

IEEE Trans Neural Syst Rehabil Eng 2022 18;30:936-946. Epub 2022 Apr 18.

This paper describes the design of a bionic soft exoskeleton and demonstrates its feasibility for assisting the expectoration function rehabilitation of patients with spinal cord injury (SCI).

Methods: A human-robot coupling respiratory mechanic model is established to mimic human cough, and a synergic inspire-expire assistance strategy is proposed to maximize the peak expiratory flow (PEF), the key metric for promoting cough intensity. The negative pressure module of the exoskeleton is a soft "iron lung" using layer-jamming actuation. Read More

View Article and Full-Text PDF

Laparoscopic repair of acute traumatic diaphragmatic hernia with mesh reinforcement: A case report.

Int J Surg Case Rep 2022 Apr 4;93:106910. Epub 2022 Mar 4.

Department of General Surgery, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Córdoba PA 5000, Argentina.

Introduction And Importance: Traumatic diaphragmatic injuries are rare and usually occur after thoracoabdominal trauma. Most patients will have other potentially life-threatening injuries. High index of suspicion is the most important attribute. Read More

View Article and Full-Text PDF

Effects of Chronic High-Frequency rTMS Protocol on Respiratory Neuroplasticity Following C2 Spinal Cord Hemisection in Rats.

Biology (Basel) 2022 Mar 19;11(3). Epub 2022 Mar 19.

Université Paris-Saclay, UVSQ, Inserm, END-ICAP, 78000 Versailles, France.

High spinal cord injuries (SCIs) lead to permanent diaphragmatic paralysis. The search for therapeutics to induce functional motor recovery is essential. One promising noninvasive therapeutic tool that could harness plasticity in a spared descending respiratory circuit is repetitive transcranial magnetic stimulation (rTMS). Read More

View Article and Full-Text PDF

Prone Position Minimizes the Exacerbation of Effort-dependent Lung Injury: Exploring the Mechanism in Pigs and Evaluating Injury in Rabbits.

Anesthesiology 2022 05;136(5):779-791

Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine, Suita, Japan.

Background: Vigorous spontaneous effort can potentially worsen lung injury. This study hypothesized that the prone position would diminish a maldistribution of lung stress and inflation after diaphragmatic contraction and reduce spontaneous effort, resulting in less lung injury.

Methods: A severe acute respiratory distress syndrome model was established by depleting surfactant and injurious mechanical ventilation in 6 male pigs ("mechanism" protocol) and 12 male rabbits ("lung injury" protocol). Read More

View Article and Full-Text PDF

Epidural electrical spinal cord stimulation of the thoracic segments (T2-T5) facilitates respiratory function in patients with complete spinal cord injury.

Respir Physiol Neurobiol 2022 06 8;300:103885. Epub 2022 Mar 8.

Department of Neuromodulation, Institute of Brain and Spine Hospitals, India; Deaprtment of Functional Neurosurgery and Neuromodulation, University of Cologne, Germany. Electronic address:

Introduction: Patients with high cervical Spinal Cord Injury (SCI) usually require mechanical ventilation support. Phrenic Nerve Stimulation (PNS) both direct and indirect is the main alternative for these patients to wean off ventilator although PNS has several limitations and phrenic nerve could be also damaged after cervical spinal cord injury.

Objective: In this study, we assessed if the spinal cord Epidural Electrical Stimulation (EES) at the segments T2-T5, related to intercostal muscles, can facilitate respiratory function and particularly inspired tidal volume during mechanic ventilation. Read More

View Article and Full-Text PDF