# Minimally invasive treatment for critical multiple trauma with traumatic diaphragmatic hernia combined with pelvic and acetabular fractures: a rare case report

**Authors:** Meng-Fei Zhou, Zeng-Ying Xing, Ri-Jin Xing, Tian-Yang Li, Bi-Gang Li, Wei Liu, Yun-Yun Wu, Jun Xiong

PMC · DOI: 10.3389/fmed.2026.1722340 · Frontiers in Medicine · 2026-03-03

## TL;DR

This case report describes a rare and complex injury involving multiple traumas and highlights the benefits of combining standard treatment with robot-assisted surgery.

## Contribution

The paper presents a novel approach integrating robot-assisted minimally invasive surgery for a rare and complex polytrauma case.

## Key findings

- Combining standardized trauma protocols with robot-assisted surgery improves survival rates.
- Early functional recovery is achievable with minimally invasive techniques in complex trauma cases.

## Abstract

Polytrauma represents a critical emergency condition characterized by complex treatment challenges and multiple complications, constituting one of the primary causes of mortality from accidental injuries. Severe polytrauma typically results from high-energy impacts, with traffic accidents, falls from height, and other fall-related injuries being the predominant causes. Without prompt and appropriate intervention, mortality rates range from 20 to 70%. The combination of polytrauma, traumatic diaphragmatic hernia, and pelvic-acetabular fractures complicates clinical management, prolongs treatment duration, and leads to significantly elevated mortality and disability rates. This case underscores the critical importance of integrating standardized clinical trauma treatment protocols with robot-assisted minimally invasive surgery to enhance patient survival rates and promote early functional recovery.

## Full-text entities

- **Diseases:** injuries (MESH:D014947), pelvic and acetabular fractures (OMIM:142700), traumatic diaphragmatic hernia (MESH:D006549), Polytrauma (MESH:D009104)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

19 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13040373/full.md

## References

59 references — full list in the complete paper: https://tomesphere.com/paper/PMC13040373/full.md

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Source: https://tomesphere.com/paper/PMC13040373