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  • Kessel, BorisSurgical Division, Hillel Yaffe Medical Center, Hadera, Israel (author)

A Novel Technique for the Damage Control of Huge Diaphragmatic Injuries

  • Article/chapterEnglish2020

Publisher, publication year, extent ...

  • 2020-04-07
  • Örebro :Örebro University Hospital,2020
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:oru-86819
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-86819URI
  • https://doi.org/10.26676/jevtm.v4i1.113DOI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background: Diaphragmatic injuries are rare in trauma victims, and mostly located on the left side. The standard approach is primary closure, using non-absorbable heavy interrupted sutures. Right-sided injuries are protected by the liver and such repair is not mandatory. However, closure of large defects, not suitable for primary suture, remains a challenging problem, especially in a military setting or in severely multiple-organ injured patients. Up until now, the single surgical solution in such situations is usage of absorbable mesh.Methods: The feasibility of a damage control closure technique for huge traumatic diaphragmatic injury was evaluated.Results: After creation of large diaphragmatic defects in an animal model, the defects were closed with an appropriately sized plastic (Bogota) bag and using a large abdominal pad, accordingly. The total procedure time was about 3 min and no chest re-protrusion was observed until completion of the experiment.Conclusions: This novel method is likely to be safe and simple to use as a damage control method and should be further investigated in proper models and clinically.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Reva, VictorKirov Military Academy, Sanct Petersburg, Russian Federation (author)
  • Sheffer, DanielSurgical Division, Hillel Yaffe Medical Center, Hadera, Israel (author)
  • Hörer, Tal M.,1971-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Division of General and Vascular Surgery(Swepub:oru)thr (author)
  • Surgical Division, Hillel Yaffe Medical Center, Hadera, IsraelKirov Military Academy, Sanct Petersburg, Russian Federation (creator_code:org_t)

Related titles

  • In:Journal of endovascular resuscitation and trauma managementÖrebro : Örebro University Hospital4:1, s. 30-322002-7567

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Kessel, Boris
Reva, Victor
Sheffer, Daniel
Hörer, Tal M., 1 ...
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Surgery
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Journal of endov ...
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Örebro University

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