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3 . 2021

Characteristics of the clinical picture, diagnosis and treatment of strangulated post-traumatic diaphragmatic hernia (clinical observations)

Abstract

The authors present their own clinical observations of successful surgical treatment of 2 patients with a pinched posttraumatic diaphragmatic hernia. In both cases, patients were referred to the hospital with a diagnosis of "chronic pancreatitis". The most informative and accurate method of diagnosis was computed tomography of the chest and abdominal organs. The removal of pinched posttraumatic diaphragmatic hernias was performed laparoscopically. The article emphasizes that the clinical picture of impaired posttraumatic diaphragmatic hernias may correspond to that of other acute diseases of the abdominal cavity, which complicates the diagnostic process. The laparoscopic method of surgical treatment is less traumatic and in most cases can be the operation of choice. Timely diagnosis and emergency surgical treatment directly affect the course of the postoperative period and the outcome of the disease.

Keywords:pinched diaphragmatic hernia, necrosis, computed tomography, laparoscopic surgery

Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Ivanov Yu.V., Epifantsev E.A., Lysenko A.O., Stankevich V.R., Smirnov A.V., Zlobin A.I., Akhmedyanov A.R., Gritsun V.Yu., Velichko E.A. Characteristics of the clinical picture, diagnosis and treatment of strangulated post-traumatic diaphragmatic hernia (clinical observations). Clinical and Experimental Surgery. Petrovsky Journal. 2021; 9 (3): 143-9. DOI: https://doi.org/10.33029/2308-1198-2021-9-3-143-149 (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

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