Korean J Thorac Cardiovasc Surg.
2004 Sep;37(9):813-816.
Thoracoscopic Surgery for Diaphragmatic Rupture: One case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Inje University Ilsan Paik Hospital, Korea. kimyns@ilsanpaik.ac.kr
- 2Department of Diagnostic Radiology, Inje University Ilsan Paik Hospital, Korea.
- 3Department of Internal Medicine, Inje University Ilsan Paik Hospital, Korea.
Abstract
- The conformation of traumatic diaphragmatic rupture is frequently difficult, even if radiologic evaluation has been performed. A 37-year old man with multiple trauma was suspicious with diaphragmatic rupture. The diaphragmatic rupture could not be confirmed with chest CT. We decided thoracoscopic operation for diagnosis. Diaphragm was ruptured about 8 cm length involving entering site of phrenic nerve into diaphragm and diaphragmatic paralysis was combined. We made 5 cm sized working window additionally. Ruptured diaphragm was repaired by continuous suture and plication of diaphragm was performed. Postoperative result was good at chest radiogram after three monthes.
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