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Emergency Traumatic Hernia

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Awake Emergency Department Thoracoscopic Investigation of Penetrating Diaphragmatic Injuries: A Novel Minimally Invasive Technique of Diagnosis
de Jongh R, Koto MZ.
J Laparoendosc Adv Surg Tech A . 2020 Dec;30(12):1334-1339.

Rationale for Inclusion: This paper evaluated a novel approach to traumatic diaphragmatic hernias, namely, a thoracoscopic approach performed on an awake patient.

CAVEAT: Not practice changing aside from rural areas or areas with markedly high penetrating trauma rates

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Decreased length of stay after laparoscopic diaphragm repair for isolated diaphragm injury after penetrating trauma.
Chaudhry HH, Grigorian A, Lekawa ME, Dolich MO, Nguyen NT, Smith BR, Schubl SD, Nahmias JT.
Am Surg. 2020 May;86(5):493-8.

Rationale for inclusion: Comparative study using national cohort demonstrating decreased overall hospital LOS in patients undergoing laparoscopic repair of isolated diaphragm injury after stab wound compared to open repair, with similar rates of in-hospital complications.

CAVEAT: Retrospective database study.

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Review of the EAST Practice Management Guideline: Evaluation and Management of Traumatic Diaphragmatic Injuries
Diaz JJ.
JAMA Surg. 2019;154(7):666–667

Rationale for Inclusion: This is a review of the literature conducted by EAST on this subject.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias.
Birindelli A, Sartelli M, Di Saverio S, Coccolini F, Ansaloni L, van Ramshorst GH, Campanelli G, Khokha V, Moore EE, Peitzman A, Velmahos G, Moore FA, Leppaniemi A, Burlew CC, Biffl WL, Koike K, Kluger Y, Fraga GP, Ordonez CA, Novello M, Agresta F, Sakakushev B, Gerych I, Wani I, Kelly MD, Gomes CA, Faro MP Jr, Tarasconi A, Demetrashvili Z, Lee JG, Vettoretto N, Guercioni G, Persiani R, Tranà C, Cui Y, Kok KYY, Ghnnam WM, Abbas AE, Sato N, Marwah S, Rangarajan M, Ben-Ishay O, Adesunkanmi ARK, Lohse HAS, Kenig J, Mandalà S, Coimbra R, Bhangu A, Suggett N, Biondi A, Portolani N, Baiocchi G, Kirkpatrick AW, Scibé R, Sugrue M, Chiara O, Catena F.
World J Emerg Surg. 2017 Aug 7;12:37.

Rationale for inclusion: evidence-based approach for emergency management of complicated abdominal wall hernias.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Traumatic abdominal wall hernias: Location matters.
Coleman JJ, Fitz EK, Zarzaur BL, Steenburg SD, Brewer BL, Reed RL, Feliciano DV.
J Trauma Acute Care Surg. 2016 Mar;80(3):390-6;

Rationale for inclusion: largest series to date.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

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