Management Algorithm for Acute and Chronic Diaphragmatic Injuries

  • Elif Onursal
  • Fausto Vinces


Diaphragmatic injury remains an elusive diagnosis for many clinicians as these injuries are often asymptomatic or masked by more severe concomitant injuries at time of presentation. A management algorithm focusing on expedient diagnosis and treatment of these injuries is essential to minimize the long-term morbidity and potential mortality associated with untreated diaphragmatic injuries. The most crucial diagnostic tool in diaphragmatic injury diagnosis is a high degree of suspicion. This can be supplemented with adjunctive imaging though management is primarily operative. Clinical presentation of diaphragmatic injury can be stratified based upon chronicity of injury. In the acute setting, most diaphragmatic injuries are often found during intervention for concomitant injury. These injuries are primarily via an abdominal approach. Chronic injuries typically present with symptoms of obstruction or respiratory compromise and are conversely repaired through a thoracic approach. Variations on repair technique depend on additional findings at time of intervention.


Traumatic diaphragmatic injury Diaphragmatic injury Acute diaphragmatic injury Chronic diaphragmatic injury Thoracoabdominal trauma Penetrating trauma Management of diaphragmatic injury Trauma management Algorithm Diaphragm 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Elif Onursal
    • 1
  • Fausto Vinces
    • 2
  1. 1.Department of General SurgerySt. Barnabas Hospital Health SystemBronxUSA
  2. 2.Department of SurgeryVassar Brothers Medical CenterPoughkeepsieUSA

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