Thoracoabdominal and Diaphragm Injury

The fellow should be able to:

• Demonstrate an understanding of the unique nature of thoracoabdominal injury
• Describe the evaluation of patients presenting with penetrating thoracoabdominal injury
• Describe the diagnostic approach to blunt and penetrating diaphragm injury including the role of imaging and diagnostic laparoscopy
• Describe the options for repair of the diaphragm including minimally invasive techniques

Resources

• Topic Summary
• AAST Education Module - Diaphragm Injuries
• Overview Article
  • Mario Giuffrida, Gennaro Perrone, et al. Management of complicated diaphragmatic hernia in the acute setting: a WSES position paper. World J Emerg Surg 2023.
• Additional Resources
  
  • Fair KA, Gordon NT, Barbosa RR, Rowell SE, Watters JM, Schreiber MA. Traumatic diaphragmatic injury in the American College of Surgeons National Trauma Data Bank: a new examination of a rare diagnosis. Am J Surg. 2015
  • Giuffrida M, Perrone G, Abu-Zidan F, et al. Management of complicated diaphragmatic hernia in the acute setting: a WSES position paper. World Journal of Emergency Surgery. 2023
  • Testini M, Girardi A, Isernia RM, et al. Emergency surgery due to diaphragmatic hernia: case series and review. World J Emerg Surg. 2017
  • Murray JA, Weng J, Velmahos GC, Demetriades D. Abdominal approach to chronic diaphragmatic hernias: is it safe? Am Surg. 2004
  • Amy A. McDonald, MD; Bryce R. H. Robinson, MD; et al. Evaluation and management of traumatic diaphragmatic injuries: A Practice Management Guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg 2018.
  • Moore EE, Malangoni MA, Cogbill TH, et al. Organ injury scaling. IV: Thoracic vascular, lung, cardiac, and diaphragm. J Trauma. 1994