Controversies in the management of asymptomatic patients sustaining penetrating thoracoabdominal wounds: [review]
Clinics
;
63(5): 695-700, 2008.
Artículo
en Inglés
| LILACS
| ID: lil-495047
ABSTRACT
The most challenging diagnostic issue in the management of thoracoabdominal wounds concerns the assessment of asymptomatic patients. In almost one-third of such cases, diaphragmatic injuries are present even in the absence of any clear clinical signs. The sensitivity of noninvasive diagnostic tests is very low in this situation, and acceptable methods for diagnosis are limited to videolaparoscopy or videothoracoscopy. However, these procedures are performed under general anesthesia and present real, and potentially unnecessary, risks for the patient. On the other hand, diaphragmatic hernias, which can result from unsutured diaphragmatic lesions, are associated with considerable morbidity and mortality. In this paper, the management of asymptomatic patients sustaining wounds to the lower chest is discussed, with a focus on the diagnosis of diaphragmatic injuries and the necessity of suturing them.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Traumatismos Torácicos
/
Heridas Penetrantes
/
Hernia Diafragmática Traumática
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
Límite:
Humanos
Idioma:
Inglés
Revista:
Clinics
Asunto de la revista:
Medicina
Año:
2008
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Universidade de São Paulo/BR
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