Skip to main content
Log in

Laparoscopic management of traumatic ruptures of the diaphragm

  • Published:
Langenbeck's Archives of Surgery Aims and scope Submit manuscript


Introduction: As a result of the relatively high frequency of high-speed accidents, diaphragmatic rupture is a diagnosis that is increasingly being established. Not all of these, usually multi-traumatized, patients are diagnosed as having diaphragmatic rupture immediately following the traumatic event – rather, an appreciable number of these injuries are not detected until some time later – often after a considerable delay. Most of the cases involve rupture of the left diaphragm, with most defects occurring in the region of the central tendon. Methods: During the course of the second half of the year 1998, we operated on three patients with left diaphragmatic rupture. Two of these patients were treated immediately following traumatization, while the third case was a 10-year-old rupture originally misdiagnosed as a para-esophageal hernia. In all three cases, we were able to reduce the hernia and close the diaphragmatic defect laparoscopically. In the case of the two patients with a fresh rupture, the post-operative course was unremarkable, while in the patient with the missed rupture, a serous pleural effusion requiring drainage occurred on the left side. Conclusion: Overall, it would appear that in the case of an acute traumatic diaphragmatic rupture in particular, laparoscopic management, with its low level of traumatization and excellent access, offers a favorable alternative to conventional surgery. A point to be considered, however, is the fact that probably not every hospital will have the facilities for laparoscopic management available on a 24-h basis. In the case of long-standing ruptures, reduction of herniated bowel and treatment of the rupture will make considerable demands on the surgeon.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Author information

Authors and Affiliations


Additional information

Received: 14 June 1999 Accepted: 27 December 1999

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schneider, C., Tamme, C., Scheidbach, H. et al. Laparoscopic management of traumatic ruptures of the diaphragm. Langenbeck's Arch Surg 385, 118–123 (2000).

Download citation

  • Issue Date:

  • DOI: