A Novel Technique for the Damage Control of Huge Diaphragmatic Injuries
2020 (English)In: Journal of endovascular resuscitation and trauma management, ISSN 2002-7567, Vol. 4, no 1, p. 30-32Article in journal (Refereed) Published
Abstract [en]
Background: Diaphragmatic injuries are rare in trauma victims, and mostly located on the left side. The standard approach is primary closure, using non-absorbable heavy interrupted sutures. Right-sided injuries are protected by the liver and such repair is not mandatory. However, closure of large defects, not suitable for primary suture, remains a challenging problem, especially in a military setting or in severely multiple-organ injured patients. Up until now, the single surgical solution in such situations is usage of absorbable mesh.
Methods: The feasibility of a damage control closure technique for huge traumatic diaphragmatic injury was evaluated.
Results: After creation of large diaphragmatic defects in an animal model, the defects were closed with an appropriately sized plastic (Bogota) bag and using a large abdominal pad, accordingly. The total procedure time was about 3 min and no chest re-protrusion was observed until completion of the experiment.
Conclusions: This novel method is likely to be safe and simple to use as a damage control method and should be further investigated in proper models and clinically.
Place, publisher, year, edition, pages
Örebro: Örebro University Hospital , 2020. Vol. 4, no 1, p. 30-32
Keywords [en]
Damage Control, Diaphragmatic Injury, Temporary Closure
National Category
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-86819DOI: 10.26676/jevtm.v4i1.113ISI: 000576661800009Scopus ID: 2-s2.0-85093119308OAI: oai:DiVA.org:oru-86819DiVA, id: diva2:1479844
2020-10-272020-10-272021-08-19Bibliographically approved