We evaluated sixteen patients of traumatic diaphragmatic injuries that we have experienced from Jan. 1987 to Aug 1993.
Age was ranged from 6 to 71 years, predominantly in the fourth and fifth decades. 13 were male and 3 were female, a ratio of 4.3:1. Blunt trauma was develped in 11(Lt 7, Rt 4), penetrating trauma in 5(Lt 2, Rt 3). Preoperative diagnosis of
diaphragmatic
injury was possible in 8 patients(72.2%) in blunt trauma, and 1 patient(20%) in penetrating trauma.
8 cases(54.5%) in blunt trauma, and 4 cases in penetrating trauma were treated within 24 hours, meanwhile, patients treated after 10 days were 3, all by blunt trauma.
The repair of 16 cases were performed with thoracic approach in 4 cases, thoracoabdominal approach in 3 cases, and abdominal approach in 9 cases.
The herniated organs in thorax were stomach(5), colon(3), liver(2), and pancreas(1).
Postoperative complication were developed in 9cases(56.3%) significantly related with delayed operation time(p<0.01),
Hospital mortality was 12.5%(2/16), and the causes of death were hypovolemic shock in one and hepatic failure due to portal vein rupture in another. (Korean J Thoracic Cardiovas Surg 1994; 27:643-9)
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