INCIDENCE OF DIAPHRAGMATIC HERNIA IN THORACO-ABDOMINAL TRAUMA CASES

Dr Jainendra Kumar; Dr Md Habibullah Ansari; Dr Dina Nath Prasad; Dr Shweta Kumari

Volume : VIII, Issue : VIII, August - 2019

INCIDENCE OF DIAPHRAGMATIC HERNIA IN THORACO-ABDOMINAL TRAUMA CASES

Dr Jainendra Kumar, Dr Md Habibullah Ansari, Dr Dina Nath Prasad, Dr Shweta Kumari

Abstract :

Objective: The aim of this study is to find out the incidence of diaphragmatic hernia in Thoraco-abdominal cases. Materials and Methods: A prospective study was conducted on 48 patients of Thoraco-abdominal trauma reporting in Surgical Emergency, Patna Medical College and Hospital, Patna from July 2017 to June 2019. All the patients were included in the study and the surgery after diagnosis was done in the surgical emergency department. Results: : 3 out of 48 patients of Thoraco-abdominal trauma who were operated by midline laprotomy in the Surgical Emergency were diagnosed to have diaphragmatic hernia while 1 was diagnosed on the operating table. The cause was blunt trauma in 3 cases and 1 was due to penetrating injury. Conclusion: Traumatic rupture of the diaphragm is rarely encountered clinical entity due to less incidence and very high pre hospital mortality. Diagnosis is difficult initially due to the lack of specific clinical signs and associated grievous injuries. We can manage effectively such cases by meticulous evaluation and early surgical repair and management of associated injuries.