Open AccessSURGICAL TECHNIQUES FOR TREATMENT OF COMPLICATED LARGE SIZE TRAUMATIC DIAPHRAGM HERNIA (CLINICAL CASE ANALYSIS)
Author(s) -
V. V. Yatskyv,
I. Polyansky,
V. Sokolov,
S. E. Frimet,
Y. V. Hyrla
Publication year - 2021
Publication title -
klìnìčna anatomìâ ta operativna hìrurgìâ
Language(s) - English
Resource type - Journals
eISSN - 1993-5897
pISSN - 1727-0847
DOI - 10.24061/1727-0847.20.1.2021.04
Subject(s) - medicine , surgery , thoracotomy , laparotomy , diaphragm (acoustics) , pneumothorax , diaphragmatic hernia , hernia , thoracic cavity , pleural cavity , perforation , decompression , conservative treatment , general surgery , physics , punching , materials science , acoustics , loudspeaker , metallurgy
The analysis of a clinical case of surgical treatment of a traumatic hernia of the left cupola of the diaphragm in a patient 66 years old, diagnosed 5 years after injury. The hernia was complicated by bowel perforation, gastrointestinal and cardiorespiratory syndrome due to organ translocation into the pleural cavity. Are noted the features of complications of traumatic hernias in the late period of their occurrence and associated diagnostic methods. The stages of diagnostics and treatment of this patient from the central district hospital to the regional clinical hospital have been analyzed; are presented the algorithm and methods of surgical treatment, the features of the postoperative period.The Department of Surgery No. 1 of the BSMU has extensive experience in the treatment of complicated diaphragm hernias, on the basis of which the article substantiates the indications for decompression of the mediastinal organs, gives the causes of pneumothorax, surgical techniques for its correction.Also are analyzed the types of surgical approaches for this pathology were are indicated the advantages and disadvantages of isolated laparotomy, thoracotomy, combined thoracoabdominal interventions.