How to do itNovel Fixation Technique for the Surgical Repair of Lung Hernias
Section snippets
Technique
The patients were placed in a standard lateral-decubitus position after double-lung ventilation and isolation of the appropriate lung. A thoracotomy incision centered over the palpable hernia was performed, and any redundant pleural tissue associated with the hernia was resected. Associated diaphragmatic defects were closed with interrupted nonabsorbable sutures (in 1 patient). A laminar hook passer was used subperiosteally to develop a plane for seating the laminar hooks on the superior aspect
Comment
Previous methods reported in the literature include direct suturing, mesh repairs, and occasionally more complex muscle flaps [3, 5]. Most methods rely on approximating ribs where possible and closure of soft tissue surrounding the hernia sac. We believe that the laminar hook fixation uses the strength of the bony anatomy of the chest wall to prevent recurrence. By using scoliosis fixation devices designed for use in children and adolescents, a low profile was maintained. The repair was not
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Cited by (11)
Traumatic thoracic rib cage and chest wall hernias: A review and discussion of management principles
2021, American Journal of SurgeryCitation Excerpt :As an adjunct to the hernia repair, rib fixation devices can be utilized to reapproximate complex rib fractures, which can significantly reduce the size of the hernia defect that then requires either tissue or mesh closure (Fig. 7). Various rib fixation devices have been described in previous case reports including standard rib plates to laminar hooks originally designed for spine stabilization surgery.38 When requiring the use of rib plating for chest wall stabilization, thin mesh has oftentimes been used in an underlay to reinforce the pleural space and fixed to overlying ribs through the muscle.39
Lung hernia provoked by a cough fit
2015, Revue de Pneumologie CliniqueA new technique of pulmonary hernia surgical repair using intramedullary titanium implants
2015, Kardiochirurgia i Torakochirurgia PolskaPrimary and prosthetic repair of acquired chest wall hernias: A 20-year experience
2014, Annals of Thoracic SurgeryCitation Excerpt :Alternatively, the use of biological mesh may represent an acceptable alternative to permanent materials, potentially acting as a matrix for cellular ingrowth over time. The use of titanium hardware to reapproximate the intercostal space has been described [17]. However, such hardware can be costly and the advantage of rigid fixation over pliable mesh repair remains unclear.
Reconstructive surgery for late complications after blunt chest wall trauma
2023, Pirogov Russian Journal of SurgeryRepair of lung herniation with titanium prosthetic ribs and Prolene mesh
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