[Surgical experiences with traumatic XXXX ].

@entity1 @entity397 @entity130
Between 1970 and 1981, 35 @entity1 with @entity397 of the diaphragma were treated. @entity130 , mostly caused by traffic accidents, predominates. The localization, type and dimensions of the diaphragmatic tear are studied. Among the associated visceral lesions, lacerations of the spleen and the liver are most often seen. Clinical and diagnostic aspects are discussed. Traumatic @entity397 is an absolute surgical indication. In the early cases, with few exceptions, a primary abdominal approach is advocated. In the delayed category a thoracotomy is mostly preferred. Operative mortality in the early cases is mainly due to the magnitude of the associated lesions. No mortality occurred in the delayed category. Long term results in controlled @entity1 were very satisfactory.
