DIAGNOSIS AND SURGICAL TREATMENT OF TRAUMATIC DIAPHRAGM RUPTURES

Magdiev Shukhrat Alisherovich*, Khadjibaev Abdukhakim Muminovich, Elmurodov Karimali Sadinovich, Shukurov Bobir Ibragimovich and Avezov Azizbek Maksudovich

ABSTRACT

The results of surgical treatment of 62 patients with diaphragmatic ruptures were studied. It is shown that in the structure of the causes of closed diaphragm injuries, highly kinetic types of injuries predominate. Diaphragmatic ruptures are characterized by a high frequency of multiple and combined injuries of various organs, among which fractures of the ribs and other bones of the skeleton prevail. X-ray sign of diaphragm rupture (viscerothorax) is detected in less than a half of the victims. CT scan of the chest and abdomen, emergency thoracoscopy and laparoscopy contributes to the timely diagnosis of diaphragm injuries. The use of endovideosurgical technique at the stages of surgical treatment in patients with closed diaphragm injuries in 83.9% of cases reduces the number of wide surgical approaches, which favorably affects the course of the postoperative period and the outcome of the disease.

Keywords: closed injury, diaphragmatic rupture, diagnosis, surgical treatment.