A minimally invasive technique for stabilizing the diaphragm on the thoracic wall after blunt chest trauma: the “lifting-up method”
Most traumatic diaphragmatic tears are located centrally or radially and may be amenable to repair by direct suturing or suturing with a surgical patch. However, diaphragmatic tears, such as those immediately adjacent to the costal margin, are uncommon. We describe how we repaired this type of tear...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2016-07, Vol.46 (7), p.872-875 |
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| container_title | Surgery today (Tokyo, Japan) |
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| creator | Kamiyoshihara, Mitsuhiro Igai, Hitoshi Kawatani, Natsuko Ibe, Takashi |
| description | Most traumatic diaphragmatic tears are located centrally or radially and may be amenable to repair by direct suturing or suturing with a surgical patch. However, diaphragmatic tears, such as those immediately adjacent to the costal margin, are uncommon. We describe how we repaired this type of tear using a needle loop retractor to pass a 2-0 braided suture through the chest wall on both sides of the rib to suture the torn diaphragm to the chest wall. Our technique is more physiologically and anatomically consistent than previously reported techniques. We have termed this technique the “lifting-up method”, which we believe to be an easy and useful technique for repairing traumatic diaphragmatic injuries with no seam allowance. |
| doi_str_mv | 10.1007/s00595-015-1249-5 |
| format | Article |
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| fulltext | fulltext |
| identifier | ISSN: 0941-1291 |
| ispartof | Surgery today (Tokyo, Japan), 2016-07, Vol.46 (7), p.872-875 |
| issn | 0941-1291 1436-2813 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Diaphragm - injuries Diaphragm - surgery How to Do It Humans Male Medicine Medicine & Public Health Middle Aged Surgery Surgical Oncology Suture Techniques Thoracic Injuries - surgery Thoracic Surgery, Video-Assisted - methods Thoracic Wall - surgery Treatment Outcome Wounds, Nonpenetrating - surgery |
| title | A minimally invasive technique for stabilizing the diaphragm on the thoracic wall after blunt chest trauma: the “lifting-up method” |
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