Nihon Geka Gakkai zasshi
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Nihon Geka Gakkai zasshi · Feb 1984
Case Reports[Right-sided traumatic diaphragmatic hernia following blunt trauma].
The mechanism of right-sided traumatic diaphragmatic hernia following blunt trauma was examined. In 13 cases of Traumatic diaphragmatic hernia admitted to the Department of Traumatology Osaka University Hospital, 3 cases were on the right. All cases were associated with severe injuries in the chest, abdomen and pelvis. ⋯ Main force which caused right-sided diaphragmatic rupture was the blunt impact to the right thoracic wall. In the right-sided diaphragmatic hernia, the most frequently herniated organ was the right lobe of the liver and there was high-frequency of G-I tract herniation in delayed types. Herniation of the abdominal organs seemed to be varied as the time passed.
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Nihon Geka Gakkai zasshi · Feb 1984
[Extravascular lung water content following thoracic vagotomy. Experimental investigations in relation to the cause of pulmonary complications after surgery for esophageal cancer].
In order to investigate the relationship between postoperative pulmonary complications after surgery for esophageal cancer and surgical injury to the thoracic vagus nerves, changes of the extravascular lung water volume (EVLW) were studied in 26 mongrel dogs. Two protocols of experiment were designed as follows. In Experiment I (18 dogs), EVLW was measured before and on successive three days after thoracic vagotomy or sham operation. ⋯ These observations suggested that the increase of EVLW was due to enhanced permeability of the pulmonary capillary wall. The volume load of saline resulted in increase of EVLW in vagotomized dogs, while no changes were observed in sham-operated dogs. The results of the current investigations indicate that the injury to the vagus nerves during surgery for esophageal cancer may induce water retention in the lung, which may be one of the underlying mechanisms of postoperative pulmonary complications.