Traumatic diaphragmatic hernia surgery

Traumatic diaphragmatic hernia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-in-Chief: Awni D. Shahait, M.D.[2], The University of Jordan

Overview

For acute ruptures, a transabdominal (most commonly) or transthoracic route is used depending on the procedure required to treat ancillary injuries. When the diaphragmatic tear is the only injury, it is usually fixed by laparotomy. Chronic injuries can be repaired by either approach. Asymptomatic tears of the diaphragm with herniated viscera should be repaired, because the risk of a strangulating obstruction is high.