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A Novel Technique for the Damage Control of Huge Diaphragmatic Injuries
Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel.
Kirov Military Academy, Sanct Petersburg, Russian Federation.
Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel.
Örebro University, School of Medical Sciences. Örebro University Hospital. Division of General and Vascular Surgery.ORCID iD: 0000-0003-3912-4732
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
Available from: 2020-10-27 Created: 2020-10-27 Last updated: 2021-08-19Bibliographically approved

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Hörer, Tal M.

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CiteExportLink to record
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