Journal article
Laparoscopic Repair of Traumatic Diaphragmatic Injuries
The Journal of surgical research, v 97(2)
15 May 2001
PMID: 11341794
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background. Laparoscopy has been proposed as a diagnostic and potentially therapeutic modality for penetrating diaphragmatic lacerations. The purpose of this study was to assess the technical feasibility and strength of various laparoscopic repairs of diaphragmatic injuries.
Methods. Swine underwent either open suture repair or laparoscopic repair by staple, suture, or patch technique of a 2-cm laceration to both the right and the left muscular or tendinous diaphragmatic leaflets. Six weeks after operation, diaphragms were harvested for either histologic analysis or bursting strength measurements.
Results. All methods of repair proved technically feasible. There was no significant difference in bursting strength measurements between treatment groups. Bursting was due to tissue failure either at or adjacent to the repair site. Histologic analysis confirmed healing of all specimens with the laparoscopic patch technique inciting less inflammation and greater fibroblastic proliferation than the other techniques.
Conclusions. Laparoscopic repair of diaphragmatic lacerations can be accomplished using any of the currently available techniques. Laparoscopic stapling, suturing, or patch techniques all result in complete healing with a strong and durable repair. When selecting a particular technique, familiarity of the surgeon should be used as a guideline.
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Details
- Title
- Laparoscopic Repair of Traumatic Diaphragmatic Injuries
- Creators
- Rosemary A. Kozar - The University of Texas Health Science Center at HoustonLewis J. Kaplan - Drexel UniversityJames Cipolla - Drexel UniversityJose Meija - Drexel UniversityMarian M. Haber - Drexel University
- Publication Details
- The Journal of surgical research, v 97(2)
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000168880400010
- Scopus ID
- 2-s2.0-0035746883
- Other Identifier
- 991019353717104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery