A Novel Technique for the Damage Control of Huge Diaphragmatic Injuries


  • Boris Kessel
  • Victor Reva
  • Daniel Sheffer
  • Tal Hörer




Damage Control, Diaphragmatic Injury, Temporary Closure


Background: Diaphragmatic injuries are rare in trauma victims, and mostly located on the left side. The standard approach is primary closure, using non-absorbable heavy interrupted sutures. Right-sided injuries are protected by the liver and such repair is not mandatory. However, closure of large defects, not suitable for primary suture, remains a challenging problem, especially in a military setting or in severely multiple-organ injured patients. Up until now, the single surgical solution in such situations is usage of absorbable mesh.
Methods: The feasibility of a damage control closure technique for huge traumatic diaphragmatic injury was evaluated.
Results: After creation of large diaphragmatic defects in an animal model, the defects were closed with an appropriately sized plastic (Bogota) bag and using a large abdominal pad, accordingly. The total procedure time was about 3 min and no chest re-protrusion was observed until completion of the experiment.
Conclusions: This novel method is likely to be safe and simple to use as a damage control method and should be further investigated in proper models and clinically.




How to Cite

Kessel, B., Reva, V., Sheffer, D., & Hörer, T. (2020). A Novel Technique for the Damage Control of Huge Diaphragmatic Injuries. Journal of Endovascular Resuscitation and Trauma Management, 4(1), 30–32. https://doi.org/10.26676/jevtm.v4i1.113



Original Article

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