Blunt traumatic diaphragmatic rupture is due to an increase in intrathoracic or intra-abdominal pressure. Usually, the left hemidiaphragm is involved. The diagnosis of a right-sided or bilateral rupture is relatively rare, although reported figures are increasing (right-sided in 20 per cent and bilateral in 6 per cent of patients). A right-sided tear is seen more frequently in victims on the passenger side of the car, implying a vector-related mechanism. The tear is usually located at the posterolateral side. A left-sided tear can lead to visceral herniation and strangulation of stomach, bowel, or spleen. However, strangulation is a rare phenomenon, and morbidity and mortality are related to other injuries. There is no difference in postoperative course between left- and right-sided tears. Penetrating trauma leads to small diaphragmatic holes, which are repaired during laparotomy.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

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