Manzoor Ahmad, Imran Tahir, Attiya Nasir, Amer Bilal, Muhammad Abid Khan, Fawad Ali.
The Etiology, Associated Injuries and surgical management of Post Traumatic Diaphragmatic Hernia; a retrospective study.
Pak J Chest Med Jan ;27(1):03-7.

Background: Due to increasing urbanization and mechanization of life style incidence of road traffic accidents has increased. Because of these road traffic accidents the incidence of traumatic diaphragmatic injuries also increases. Our study was to evaluate retrospectively the etiology, associated injuries and surgical management of blunt diaphragmatic injuries. The present study was conducted to evaluate retrospectively the etiology, associated injuries and surgical management of blunt diaphragmatic injuries. Methodology: This retrospective case study was conducted from January 2016 to January 2019 jointly by Thoracic surgery ward Medical Teaching Institute LRH Peshawar Pakistan and Medical Teaching Institute Hayatabad Medical Complex Peshawar Pakistan. Patients with any age and either sex with diaphragmatic injury post blunt trauma received in emergency or OPD or shifted from other ward were included in study. Patients with penetrating diaphragmatic injuries and congenital diaphragmatic hernias were excluded from the study. All the clinical presentations, demographic data, base line investigations and specific investigations were recorded on a proforma and analyzed. Results: Total number of patients included in the present study were Thirty Five, out of these 35 patients 24 patients presented to emergency department, 07 patients presented late to our OPD with history of trauma and four patients were shifted to us from other wards. The age range in the present study was from 07 years to 62 years. Most of the patients in this study were in the age group of 18-48 years (68.9%). Male were 24(68.57%) and female 11(31.42%). Thirty one patients had left sided injury and 4 patients had right sided. Out of 35 patients 21 had road traffic accident. Seven patients who came to OPD were diagnosed delayed. Morbidity was 3 (8.57%). There was no mortality in the present study Conclusion: Urbanization and mechanization has increased the incidence of road traffic accidents and increase diaphragmatic injuries as evident from this study. Early diagnosis and surgical repair has got good results.

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