Case ReportsVideo-Assisted Repair of a Traumatic Intercostal Pulmonary Hernia
Section snippets
Comment
Lung hernias are a rare entity, with approximately 300 cases reported in the literature. They were first described by Roland in 1499 [1] and classified by Morel-Lavalle in 1845 [2]. Approximately 20% of reported cases are described as congenital and 80% as acquired, of which the majority are traumatic in origin 3, 4. Traumatic intercostal hernias are frequently associated with multiple rib fractures or tears in the intercostal muscles. They usually occur in the area adjacent to the sternum,
References (8)
- et al.
Traumatic intercostal pulmonary hernia
Ann Thorac Surg
(1990) - et al.
The role of thoracoscopy in the management of retained thoracic collections after trauma
Ann Thorac Surg
(1997) - Roland. De pulmonis sanarpot, liber III (cap) XXV. In: de Chavliae G. Cyrugia...
Hernie du poumon
Bull Mem Soc Chir Paris
(1845)
Cited by (41)
Primary and prosthetic repair of acquired chest wall hernias: A 20-year experience
2014, Annals of Thoracic SurgeryCitation Excerpt :Some have suggested that traumatic supraclavicular hernias may be more amenable to observation because the chest wall defect is typically larger, reducing the risk of incarceration [18]. Thoracoscopically assisted repair of chest wall hernias has also been described as an alternative to thoracotomy [10, 19]. Although we did not attempt any minimally invasive herniorrhaphies, this certainly represents an attractive option in patients without prohibitive pleural adhesions.
Spontaneous intercostal lung hernia secondary to coughing spell
2012, Revista de Patologia RespiratoriaIntercostal lung hernia: A case report
2010, Revista de Patologia RespiratoriaPosttraumatic intercostal lung hernia
2009, Journal de ChirurgieIntercostal hernia and spontaneous pneumothorax in a liver transplant recipient: a case report
2007, Journal of Pediatric SurgeryCitation Excerpt :Repair with nonabsorbable sutures and possibly reinforcement with mesh is advisable, particularly in recurrent defects. [10,12] Repair via video-assisted thoracoscopic surgery is also possible [13,14]. In the case reported here, the child's intercostal hernia resulted at the site of a distant prior thoracostomy, performed at a time when she was receiving immunosuppressant corticosteroids.
Harm from seat belt: Transthoracic lung herniation and pericardial rupture
2007, Journal of Thoracic and Cardiovascular SurgeryCitation Excerpt :Because of the large thoracic wall hematoma and extended thoracic wall emphysema in this case, a muscular flap did not seem appropriate, and the mesh was applied rapidly through a posterolateral thoracotomy, reducing the risk of thoracic wall infection. As an alternative approach to open thoracotomy, hernia repair with video-assisted thoracoscopic techniques may be performed.5 For traumatic transthoracic lung herniation, open or thoracoscopic implantation of surgical mesh is suggested, because it is rapidly applicable and shows favorable perioperative and late results.