{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:40:32Z","timestamp":1777448432929,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T00:00:00Z","timestamp":1748044800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>\n                    Patients with penetrating right thoracoabdominal injuries are often managed nonoperatively. However, it is unclear whether routine surgical repair of the diaphragm is warranted. This was a single-center retrospective review of all patients presenting to our level 1 trauma center with a penetrating right thoracoabdominal injury between 2013 and 2023. A total of 37 patients met inclusion criteria for this study. Of this group, 64.9% (24\/37) underwent diaphragm repair. Demographic data including age, initial vital signs, and Injury Severity Score (ISS) were similar. When considering bile-related complications, there were no differences in the rates of bilothoraces (1\/24, 4.2% vs 1\/13, 7.7%,\n                    <jats:italic>P<\/jats:italic>\n                    = .7) or biliopleural fistulas (1\/24, 4.2% vs 1\/13, 7.7%,\n                    <jats:italic>P<\/jats:italic>\n                    = .7) between groups. Nonoperative management of penetrating right thoracoabdominal injuries was not associated with a higher rate of bile-related complications or delayed thoracic surgery suggesting that diaphragm repair in patients with concomitant liver injuries may not be necessary.\n                  <\/jats:p>","DOI":"10.1177\/00031348251346543","type":"journal-article","created":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T03:43:02Z","timestamp":1748058182000},"page":"1129-1131","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Penetrating Right Thoracoabdominal Injuries: Do You Need to Repair the Diaphragm?"],"prefix":"10.1177","volume":"91","author":[{"given":"Saeram","family":"Oh","sequence":"first","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4777-5591","authenticated-orcid":false,"given":"Mary","family":"Noory","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Trisler","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8579-9397","authenticated-orcid":false,"given":"Nicole M.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael R.","family":"Bard","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Newell","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric A.","family":"Toschlog","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8178-5285","authenticated-orcid":false,"given":"Caitlin A.","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery, East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,24]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199411000-00007"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1807-59322008000500020"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000158243.78299.B5"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198808000-00005"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251346543","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348251346543","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251346543","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:55Z","timestamp":1777379875000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348251346543"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,24]]},"references-count":4,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/00031348251346543"],"URL":"https:\/\/doi.org\/10.1177\/00031348251346543","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,24]]}}}