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Abstract : Many studies have revealed that it might be challenging to identify diaphragm injuries after penetrating chest trauma. In order to diagnose and treat diaphragmatic injuries following penetrating thoracic traumas, this study would assess the effectiveness of video-assisted thoracoscopic surgery. We conducted a retrospective evaluation of 53 patients who underwent VATS procedures in our department between January 2017 and August 2021 among 617 patients who had penetrating thoracic trauma because there was a possibility of diaphragmatic damage. 43 (81.1%) patients were male, and 10 (18.9%) patients were female with a mean age of 28.74±11.9 years (18- 65 years). In 24 (45.3%) patients, VATS was performed on the left side and the others on the left side according to the penetrating area of trauma. In 36 (67.9%) patients, diaphragmatic laceration was detected and was repaired. The missed injury rate was 20.7%. There was no significant statistical difference between etiology of penetrating trauma, ages and gender of patients (p>0.05). No complication was detected during the mean follow up period of 13.57±9.9 (range of 3-6) months. According to our perspective, VATS is crucial and possible in hemodynamically stable individuals who may have an acute diaphragmatic injury following penetrating thoracic trauma but who cannot be diagnosed clinically.

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