Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Complications of Diaphragmatic Hernia

Complications of Diaphragmatic Hernia Abstract Diaphragmatic hernia occurs frequently and often is asymptomatic or produces mild symptoms which are controlled easily by medical management. Hernia of the diaphragm, however, may produce serious complications associated with considerable morbidity and possible fatality. In the past, the incidence of recurrence following herniorrhaphy was rather high and the risk of the operative procedure was great enough to influence many physicians rarely to recommend repair of a diaphragmatic hernia. With better methods for evaluating and improving the status of the patient before and after surgical treatment and by employing much safer anesthesia and refined surgical techniques, the operative mortality has been diminished to a very low figure and recurrences are exceptional. With this change in results, perhaps, this disease and its complications should be re-evaluated. During the period between January, 1948, and April, 1959, I performed diaphragmatic herniorrhaphy for 133 patients seen at the Scott and White Clinic. Three deaths References 1. Skinner, E. F.; Carr, D.; Duncan, J. T., and Hall, J. R.: Strangulated Diaphragmatic Hernia , J. Thoracic Surg. 36:102-111 ( (July) ) 1958. 2. Carter, B. N.; Giuseffi, J., and Felson, B.: Traumatic Diaphragmatic Hernia , Am. J. Roentgenol. 65:56-72 ( (Jan.) ) 1951. 3. Hedblom, C. A.: Diaphragmatic Hernia , Ann. Int. Med. 8:156-176 ( (Aug.) ) 1934.Crossref 4. Harrington, S. W.: Various Types of Diaphragmatic Hernia Treated Surgically: Report of 430 Cases , Surg. Gynec. & Obst. 86:735-755 ( (June) ) 1948. 5. Bernatz, P. E.; Burnside, A. F., Jr., and Clagett, O. T.: Problem of the Ruptured Diaphragm , J.A.M.A. 168:877-881 ( (Oct. 18) ) 1958. 6. Brindley, G. V., Jr., and Brindley, G. V., Sr.: Carcinoma of the Esophagogastric Junction, CA, to be published. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Complications of Diaphragmatic Hernia

Archives of Surgery , Volume 81 (4) – Oct 1, 1960

Loading next page...
 
/lp/american-medical-association/complications-of-diaphragmatic-hernia-KzY0jGsQa9
Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1960.01300040066011
Publisher site
See Article on Publisher Site

Abstract

Abstract Diaphragmatic hernia occurs frequently and often is asymptomatic or produces mild symptoms which are controlled easily by medical management. Hernia of the diaphragm, however, may produce serious complications associated with considerable morbidity and possible fatality. In the past, the incidence of recurrence following herniorrhaphy was rather high and the risk of the operative procedure was great enough to influence many physicians rarely to recommend repair of a diaphragmatic hernia. With better methods for evaluating and improving the status of the patient before and after surgical treatment and by employing much safer anesthesia and refined surgical techniques, the operative mortality has been diminished to a very low figure and recurrences are exceptional. With this change in results, perhaps, this disease and its complications should be re-evaluated. During the period between January, 1948, and April, 1959, I performed diaphragmatic herniorrhaphy for 133 patients seen at the Scott and White Clinic. Three deaths References 1. Skinner, E. F.; Carr, D.; Duncan, J. T., and Hall, J. R.: Strangulated Diaphragmatic Hernia , J. Thoracic Surg. 36:102-111 ( (July) ) 1958. 2. Carter, B. N.; Giuseffi, J., and Felson, B.: Traumatic Diaphragmatic Hernia , Am. J. Roentgenol. 65:56-72 ( (Jan.) ) 1951. 3. Hedblom, C. A.: Diaphragmatic Hernia , Ann. Int. Med. 8:156-176 ( (Aug.) ) 1934.Crossref 4. Harrington, S. W.: Various Types of Diaphragmatic Hernia Treated Surgically: Report of 430 Cases , Surg. Gynec. & Obst. 86:735-755 ( (June) ) 1948. 5. Bernatz, P. E.; Burnside, A. F., Jr., and Clagett, O. T.: Problem of the Ruptured Diaphragm , J.A.M.A. 168:877-881 ( (Oct. 18) ) 1958. 6. Brindley, G. V., Jr., and Brindley, G. V., Sr.: Carcinoma of the Esophagogastric Junction, CA, to be published.

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1960

References