Jakrapan Wittayapairoch, Suriya Punchai, Kritsada Paonariang, Kriangsak Jenwitheesuk, O-tur Saeseow, Chaiyuth Thanapaisal. Khon Kaen University
INTRODUCTION: Most of the blunt thoracoabdominal injury patients always have multiple organ injuries. Plan of definite treatment depends on the preoperative diagnosis. In isolating diaphragmatic traumatic injury without others organ injury laparoscopic approach is helpful, decrease a length of hospital stay as well as decrease a wound complication. Authors describe the laparoscopic treatment of the patient who had rupture of a diaphragm from blunt trauma in an emergency setting.
METHODS AND PROCEDURES: A 56 years old man presented with motor vehicle accident and mechanism of injury was blunt thoracoabdominal injury. He complains about chest tightness and tachycardia. Complete evaluation and CT scan ware performed. Stomach was herniated to the left chest and diaphragmatic ruptured was found neither others great vessels nor solid organs injury. The laparoscopic approach was desired and left diaphragm was repair by non-absorbable sutured without intraoperative complication.
RESULTS: The patient has been discharged 4 days post-operative with full recovery. Chest x-ray was taken before discharge, in out-patient department 2 weeks as well as 6 months after discharge which shown no diaphragmatic herniation.
CONCLUSION(S): Laparoscopic approach in isolated traumatic ruptured diaphragm patients is safe and should be considered.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87562
Program Number: P700
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster
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