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Congenital diaphragmatic hernias (CDH) are rare and often can be asymptomatic until adulthood. Traumatic diaphragmatic hernia (TDH) is a complication that occurs in about 1\u20135% of victims of road accidents and in 10\u201315% of penetrating traumas of the lower chest. CDH and TDH are potentially life\u2010threatening conditions, and the management in emergency setting still debated. This study aims to evaluate the surgical treatment options in emergency setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A bibliographic research reporting the item \u201cemergency surgery\u201d linked with \u201ctraumatic diaphragmatic rupture\u201d and \u201ccongenital diaphragmatic hernia\u201d was performed. Several parameters were recorded including sex, age, etiology, diagnosis, treatment, site and herniated organs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The research included 146 articles, and 1542 patients were analyzed. Most of the complicated diaphragmatic hernias occurred for a diaphragmatic defect due to trauma, only 7.2% occurred for a congenital diaphragmatic defect. The main diagnostic method used was chest X\u2010ray and CT scan. Laparotomic approach still remains predominant compared to the minimally invasive approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Surgery is the treatment of choice and is strongly influenced by the preoperative setting, performed mainly with X\u2010ray and CT scan. Minimally invasive approach is safe and feasible but is highly dependent on the surgeon's expertise, especially in emergency setting.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05733-6","type":"journal-article","created":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T16:07:29Z","timestamp":1597162049000},"page":"4012-4031","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Complicated Diaphragmatic Hernia in Emergency Surgery: Systematic Review of the Literature"],"prefix":"10.1002","volume":"44","author":[{"given":"Gennaro","family":"Perrone","sequence":"first","affiliation":[{"name":"Department of Emergency Surgery Parma University Hospital Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Giuffrida","sequence":"additional","affiliation":[{"name":"General Surgery Unit, Department of Medicine and Surgery Parma University Hospital Via A. 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