𝘿𝙄𝘼𝙋𝙃𝙍𝘼𝙂𝙈𝘼𝙏𝙄𝘾 𝙃𝙀𝙍𝙉𝙄𝘼 𝙎𝙐𝙍𝙂𝙀𝙍𝙔
Diaphragm is the muscular partition that separates the abdomen and the chest. Tearing or disruption of this thin muscle is called a diaphragmatic hernia or diaphragmatic rupture.
Once a tear in the diaphragm is present, abdominal contents such as the stomach, liver, and intestines may enter the chest cavity. The abdominal contents compress the lungs and prevent them from fully inflating, causing respiratory distress, (difficulties breathing).
The most common cause of diaphragmatic hernia is blunt force trauma.
Diagnosis is based on medical history, physical examination findings, and radiographs (X-rays).
Key Points
- Most diaphragmatic hernias are not life threatening
- Suture the hernia from dorsal to ventral
- Use a one layer simple continuous pattern for closure.
- Evacuate all thoracic air prior to closure
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