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The role of laparoscopy in the diagnosis and treatment of missed diaphragmatic rupture

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Background: Diaphragmatic rupture is one of the most commonly missed injuries in trauma cases. Traditionally, laparotomy or thoracotomy has been the treatment of choice for this condition.

Methods: During the last 2 years, we treated three patients laparoscopically to address neglected diaphragmatic ruptures that caused herniation of the intraabdominal contents.

Results: In all three cases, laparoscopy succeeded in identifying the diaphragmatic defect, so that the herniated viscera could be released and the defect repaired primarily or with a prosthesis. The intraoperative and the postoperative courses were uneventful; there were no significant complications.

Conclusion: Laparoscopy has an important role in the surgical treatment of missed diaphragmatic ruptures.

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Received: 12 July 1999/Accepted: 21 October 1999/Online publication: 8 May 2000

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Matz, A., Alis, M., Charuzi, I. et al. The role of laparoscopy in the diagnosis and treatment of missed diaphragmatic rupture. Surg Endosc 14, 537–539 (2000). https://doi.org/10.1007/s004640000112

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  • Key words: Diaphragmatic rupture — Laparoscopic repair — Traumatic diaphragmatic hernia