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CASE REPORT article

Front. Med.

Sec. Intensive Care Medicine and Anesthesiology

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

  • Hainan Hospital Affiliated to Hainan Medical University, Hainan Provincial, China

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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.

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Keywords

Combined Pelvic and Acetabular Fractures, HoloSight Orthopedic Surgical Robot, Multidisciplinary Joint Surgery, Severe polytrauma, Traumatic diaphragmatic hernia

Received

15 October 2025

Accepted

26 January 2026

Copyright

© 2026 Zhou, Wu, Xing, Xing, Li, Li, Liu and Xiong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Jun Xiong

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