Transthoracic repair of the traumatically-ruptured diaphragm is advised as there is often adhesion of abdominal viscera to the parietal peritoneum. In acute rupture, associated injuries often take precedence. In asymptomatic patients in whom other conditions simulating the presentation can be ruled out, operative repair can be delayed until definitive symptoms develop.
The prognosis following surgical repair is excellent. The diaphragm supports sutures well and recurrence is virtually unknown.
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