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Se prefiere una sutura continua horizontal en punto de colchonero que everta las bordes, los cuales se suturan de vuelta de manera continua utilizando la misma sutura. Cuando el diafragma se desprende de sus inserciones costales, como consecuencia del trauma, se utilizan puntos pericostales para fijarlo nuevamente Diaphragmatic hernias are defined as the passage of abdominal contents into the thoracic cavity through a diaphragmatic anatomical defect.

Congenital diaphragmatic hernias produce pulmonary hypoplasia and pulmonary hypertension in the newborn, which are associated with life-threatening physiologic complications. Prenatal diagnosis can be established trough different imaging techniques. Treatment includes respiratory stabilization of the newborn, followed by surgical repair of the anatomic defect. Traumatic diaphragmatic hernias result from blunt or penetrating trauma.

Penetrating trauma over the thoracoabdominal region is the most common cause. Sensibility of diagnostic images is not high, a fact that interferes with diagnosis. However, laparoscopy and thoracoscopy yield better diagnostic accuracy and also constitute a treatment approach.

Surgical correction, by the abdominal or the thoracic approach, has to be performed as soon as diagnosis is established. Key words : diaphragm; hernia, diaphragmatic; thoracic injuries; thoracic surgery; thoracic surgery, videoassisted. Cavidades corporales. En: Langman. Surgicalembryology and anatomy of the diaphragm with surgicalapplications.

Surg Clin North Am. Genevae: L Chouet; Seats and causes of disease investigated by anatomy. London: Miller and Cadell; ; Einige betrachtungen uber die entstehung des angeborenen zwerchfellbruches: als beitrag zur pathologischen anatomie der hernien. Vierteljahrsschrift fur die Praktische Heilkunde.

Structural chromosome anomalies in congenital diaphragmatic hernia. Prenat Diagn. Congenital diaphragmatic hernia. Paediatr Respir Rev. Congenital diaphragmatic hernia: an ongoing clinical challenge. Curr Opin Pediatr. Congenital diaphragmatic hernia as a cause of perinatal mortality. Congenital diaphragmatic hernia and associated anomalies: their incidence, identification, and impact on prognosis.

J Pediatr Surg. Cardiac anomalies in patients with congenital diaphragmatic hernia and their prognosis: a report from the Congenital Diaphragmatic Hernia Study Group.

Diaphragmatic hernia in the fetus: prenatal diagnosis and outcome in 94 cases. Congenital diaphragmatic hernia —A tale of two cities: The Boston experience. Timing of surgery for congenital diaphragmatic hernia: Is emergency operation necessary? Correction of congenital diaphragmatic hernia in utero. Initial clinical experience. A randomized trial of fetal endoscopic tracheal occlusion for severe fetal congenital diaphragmatic hernia.

N Engl J Med. Extracorporeal membrane oxygenation. Successful treatment of persistent fetal circulation following repair of congenital diaphragmatic hernia. J Thorac Cardiovasc Surg.

Pathophysiology of congenital diaphragmatic hernia. Inhaled nitric oxide increases survival rates in newborn rats with congenital diaphragmatic hernia. Eur J Pediatr Surg. Extralobar sequestration with congenital diaphragmatic hernia: a complicated case study.

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Traumatic diaphragmatic hernia. Am J Surg. The case reports and autopsy records of Ambroise Pare. Springfield, IL: Thomas; Diaphragmatic hernia.

Ann Thorac Surg. Traumatic rupture of diaphragm. Pericardio-diaphragmatic rupture: five new cases and literature review. J Emerg Med. Traumatic diaphragmatic injuries. Thorac Surg Clin. Diaphragmatic disruption secondary to blunt abdominal trauma. J Trauma. Diagnostic and therapeutic laparoscopy for penetrating abdominal trauma: A multicenter experience.

Early recognition of diaphragmatic injuries from blunt trauma. Ann Emerg Med. Abdominal injuries in association with penetrating trauma to the lower chest. Right-sided diaphragmatic injury: rarity or overlooked diagnosis? Arch Surg. Traumatic rupture of right hemidiaphragm. Scand J Thorac Cardiovasc Surg. Complications of tube thoracostomy for acute trauma. Rev Colomb Cir.

Acute traumatic injury of the diaphragm. Chest Surg Clin North Am. Pitfalls in the diagnosis of blunt diaphragmatic injury. Stellenwert der Sonographie in der Diagnostik traumatischer Zwerchfellrupturen. Aktuelle Chirurgie. Zwerchfellrupturen: Diagnostik-Therapie- Ergebnisse. Aktuelle Traumatologie. Acute rupture of the diaphragm due to blunt trauma: Diagnostic sensitivity and specificity of CT.

Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol. Role of videothoracoscopy in chest trauma. Thoracoscopy in the subacute management of patients with thoracoabdominal trauma.

A prospective evaluation of thoracoscopy for the diagnosis of penetrating thoracoabdominal trauma. Indications for using video-assisted thoracoscopic surgery to diagnose diaphragmatic injuries after penetrating chest trauma. Therapeutic laparoscopy in trauma. A prospective analysis of diagnostic laparoscopy in trauma. Ann Surg. The current status of traumatic diaphragmatic injury: lessons learned from patients over 13 years.

Value of digital exploration for diagnosing injuries to the left side of the diaphragm caused by stab wounds. Panam J Trauma. Early diagnosis and treatment of blunt diaphragmatic injury. Am Surg. The diaphragm. Mastery of cardiothoracic surgery. Rupture of the diaphragm after blunt trauma.

Eur J Surg. Diaphragmatic injury. Advances in trauma.


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