ReviewWorld journal of emergency surgery : WJES2023
Management of complicated diaphragmatic hernia in the acute setting: a WSES position paper.
Review in World journal of emergency surgery : WJES, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
53 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Acute paraesophageal hernia with gastric volvulus. Results of surgical treatment: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2025Pooled it
- Thoracoscopic repair of chronic post-traumatic diaphragmatic hernia: outcomes and selection criteria.Surgical endoscopy · 2026Article
- Delayed presentation of left-sided penetrating diaphragmatic injury with multivisceral herniation, gastric fundal perforation, and splenic laceration leading to fatal septic shock: a case report from Ethiopia.International journal of surgery case reports · 2026Article
- Laparoscopic repair of diaphragmatic hernia with bovine pericardium patch and opportunistic resection of metastatic thymoma.Journal of surgical case reports · 2026Article
- Strangulated Adult Bochdalek Hernia With Extensive Small Bowel Necrosis and Septic Shock.Cureus · 2026Article
- Massive Bochdalek Hernia in an Adult Presenting With Cardiac Arrhythmias: A Case Report.Cureus · 2026Article
- Laparoscopic Repair of a Strangulated Right Diaphragmatic Hernia Following Blunt Trauma.Clinical case reports · 2026Article
- Hazardous Hernia: Mechanical Ventilation in an Adult With a Congenital Diaphragmatic Hernia.Cureus · 2026Article
- How Epigenetics Bridges Genes and Environment: A Multiomics Evidence Chain in Congenital Diaphragmatic Hernia.Birth defects research · 2026Review
- CT evaluation of traumatic diaphragmatic injury: a large retrospective cohort study of blunt and penetrating trauma.Emergency radiology · 2026Article
- Delayed presentation of congenital diaphragmatic hernia with bowel obstruction in an 8-year-old, diagnostic value of chest X-ray as the sole imaging modality: a case report and literature review.International journal of surgery case reports · 2026Article
- Reflections on surgery for hiatal hernia.Updates in surgery · 2026Review
- Delayed Right Hemidiaphragm Rupture After Blunt Trauma Repaired With Prolene Mesh: A Case Report.Case reports in surgery · 2026Article
- Simultaneous bilateral hemorrhagic pleural effusion and hemorrhagic ascites during percutaneous nephrolithotomy: a case report.Frontiers in medicine · 2026Article
- Delayed Strangulated Right Diaphragmatic Hernia after Retroperitoneal Tumor Resection with Hepatectomy: A Case Report.Surgical case reports · 2026Article
- Case Report: Diagnostic pitfalls and laparoscopic repair of a delayed large right-sided traumatic diaphragmatic hernia.Frontiers in surgery · 2026Article
- Strangulated necrotic gastric fundus due to diaphragmatic hernia presenting with hydropneumothorax 5 years after left hepatic lobectomy: a case report and literature review.Frontiers in surgery · 2026Article
- Minimally invasive treatment for critical multiple trauma with traumatic diaphragmatic hernia combined with pelvic and acetabular fractures: a rare case report.Frontiers in medicine · 2026Article
- Management of penetrating traumatic diaphragm injury.Trauma surgery & acute care open · 2026Article
- Management of strangulated, perforated gastrothorax with resultant tension pneumothorax secondary to an iatrogenic diaphragmatic hernia: a case report.Journal of surgical case reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
41 authors at 20 institutions in 15 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiaphragmatic hernia (DH) presenting acutely can be a potentially life-threatening condition. Its management continues to be debatable.
methodsA bibliographic search using major databases was performed using the terms "emergency surgery" "diaphragmatic hernia," "traumatic diaphragmatic rupture" and "congenital diaphragmatic hernia." GRADE methodology was used to evaluate the evidence and give recommendations.
resultsCT scan of the chest and abdomen is the diagnostic gold standard to evaluate complicated DH. Appropriate preoperative assessment and prompt surgical intervention are important for a clinical success. Complicated DH repair is best performed via the use of biological and bioabsorbable meshes which have proven to reduce recurrence. The laparoscopic approach is the preferred technique in hemodynamically stable patients without significant comorbidities because it facilitates early diagnosis of small diaphragmatic injuries from traumatic wounds in the thoraco-abdominal area and reduces postoperative complications. Open surgery should be reserved for situations when skills and equipment for laparoscopy are not available, where exploratory laparotomy is needed, or if the patient is hemodynamically unstable. Damage Control Surgery is an option in the management of critical and unstable patients.
conclusionsComplicated diaphragmatic hernia is a rare life-threatening condition. CT scan of the chest and abdomen is the gold standard for diagnosing the diaphragmatic hernia. Laparoscopic repair is the best treatment option for stable patients with complicated diaphragmatic hernias. Open repair is considered necessary in majority of unstable patients in whom Damage Control Surgery can be life-saving.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.