Letter to the Editor Coccolini F, Cremonini C, Moore EE, Civil I, Balogh Z, Leppaniemi A, Horer T, Reva V, Ball C, Kirkpatrick AW, Colli A. Thoracic trauma WSES-AAST guidelines. World Journal of Emergency Surgery. 2025 Oct 15;20(1):78

Traumatic diaphragmatic injuries are a significant cause of morbidity and mortality. Particular attention to isolated diaphragmatic injuries and not overlooking them is critical to preventing damage from hernias that may occur immediately or later. The use of a thoracic tube during repair of a diagnosed diaphragmatic injury should be considered a necessary routine procedure. Clearly, the current guidelines resulting from the WSES-AAST collaboration reiterate this traditional recommendation. However, selective tube use should be considered, and the "one-size-fits-all" approach should be discussed. This detail deserves reconsideration to minimize patient morbidity and discomfort.