Role of Primary Diaphragmatic Repair in Traumatic Diaphragmatic Herniation: Case Series and Review of Literature

Abstract

Diaphragmatic rupture due to blunt trauma (especially small ruptures) can be effectively treated by primary closure by either laparotomy or laparoscopy with minimal morbidity and mortality. Here, we present a series of cases where the diaphragmatic rupture was managed by primary repair emphasising the role of primary diaphragmatic repair in traumatic rupture. It places a premium on effective early diagnosis of such cases, which is difficult. Though, these injuries may be associated with other organ injuries, early diagnosis and effective treatment are the key to the management of diaphragmatic injuries due to blunt trauma.

Keywords

• diaphragmatic hernia
• diaphragmatic rupture
• early rupture
• primary repair