HERNIA DIAFRAGMATIKA PDF

Eine Hernie kann je nach Lokalisation durch eine Schwellung auffallen oder unbemerkt bleiben. Dies stellt aber keine Heilung dar, und eine planbare Operation Wochen bis Monate ist nicht zu umgehen. Solange keine Brucheinklemmung oder andere Komplikationen auftreten, besteht kein Anlass zu einer sofortigen Operation. Solche Wunden bewirken wegen der damit verbundenen Steigerung des Operationsinfektionsrisikos oft einen weiteren Aufschub der unvermeidbar notwendigen Operation. Eine Operation ist damit nicht unbedingt notwendig. Da nur eine Operation einen bleibenden Erfolg sichert, ist sie heute die Regel.

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What is a diaphragmatic hernia? The diaphragm is a dome-shaped muscular barrier between the chest and abdominal cavities.

It separates your heart and lungs from your abdominal organs stomach, intestines, spleen, and liver. A diaphragmatic hernia occurs when one or more of your abdominal organs move upward into your chest through a defect opening in the diaphragm.

This kind of defect can be present at birth or acquired later in life. What are the causes of a diaphragmatic hernia? A congenital diaphragmatic hernia CDH is due to the abnormal development of the diaphragm while the fetus is forming. A defect in the diaphragm of the fetus allows one or more of their abdominal organs to move into the chest and occupy the space where their lungs should be. In the majority of cases, this affects only one lung.

An acquired diaphragmatic hernia ADH is usually the result of a blunt or penetrating injury. Traffic accidents and falls cause the majority of blunt injuries. Penetrating injuries are usually due to stab or gunshot wounds. Surgery on the abdomen or chest may also cause accidental damage to your diaphragm. Rarely, the diaphragmatic hernia may occur without a known reason and go undiagnosed for a period of time, until it becomes severe enough to cause symptoms.

What are the risk factors for a diaphragmatic hernia? Most congenital diaphragmatic hernias are idiopathic; their cause is unknown. It is believed a combination of several factors lead to their development. Chromosomal and genetic abnormalities, environmental exposures and nutritional problems may all have a role in the formation of these hernias. It can also occur with other organ problems such as abnormal development of the heart, gastrointestinal, or genitourinary systems.

The following factors may increase your risk of an acquired diaphragmatic hernia: blunt injuries due to a traffic accident surgical procedures on the chest or abdomen falls that impact the diaphragm region stab wounds.

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