Top

Published in:

01-12-2003 | Case Report

Repair of intercostal pulmonary herniation

Authors: V. Fackeldey, K. Junge, D. Hinck, A. Franke, S. Willis, H. P. Becker, V. Schumpelick

Published in: Hernia | Issue 4/2003

Abstract

Intercostal pulmonary herniation occurring years after blunt thoracic trauma is a rare phenomenon. We report on the case of a 66-year-old patient who developed a pulmonary herniation 2 years after a seat-belt injury. Thoracotomy was performed, and the thoracic wall defect was closed with approximating periostal absorbable sutures. The postoperative course was uneventful. Different surgical approaches and the use of prosthetic patches are discussed. Periostal fixation of the adjacent ribs with absorbable sutures is usually sufficient for herniation repair. In cases in which prosthetic meshes are needed, the application of PTFE might produce the best results with the least complications.

Taylor DA, Jacobson HG (1962) Posttraumatic herniation of the lung. AJR Am J Roentgenol 87:896–899

Roland (1499) De pulmonis sanarpot, liber III (cap) XXV. In: De Chavliae G. Cyrugia p 144

Morel-Lavelle A (1847) Hernie du poumon. Bull Mem Soc Chir Paris 1:75–195

Forty J, Wells FC (1990) Traumatic intercostal pulmonal hernia. Ann Thorac Surg 49:670–671PubMed

May AK, Chan B, Daniel TM, Young JS (1995) Anterior lung herniation: another aspect of the seat belt syndrome. J Trauma 38:587–589PubMed

Tack D, Wattiez A, Schtickzelle JC, Delcour C (2000) Spontaneous lung herniation after a single cough. Eur Radiol 10:500–502CrossRefPubMed

Arslanian A, Oliaro A, Donati G, Filosso PL (2001) Posttraumatic pulmonary hernia. J Thorac Cardiovasc Surg 122:619–621CrossRefPubMed

Fiane AE, Nordstrand K (1993) Intercostal pulmonary hernia after thoracic injury. Eur J Surg 159:379–381PubMed

Allen GS, Fischer RP (1997) Traumatic lung hernia. Ann Thorac Surg 63:1455–1456CrossRefPubMed

10.

Busch T, Kley CW, Sirbu H, Aleksie I, Dalichau H (1999) Die incarcerierte traumatische intercostale Lungenhernie. Chirurg 70:946–948CrossRefPubMed

11.

Hinck D, Fackeldey V, Franke A, Schöneich R, Becker HP (2001) Die posttraumatische Lungenhernie — Spätkomplikation eines stumpfen Thoraxtraumas. Wehrmed Mschr 45:39–40

12.

Reardon MJ, Fabré J, Reardon PR, Baldwin JC (1998) Video-assisted repair of a traumatic intercostal pulmonary hernia. Ann Thorac Surg 65:1155–11574CrossRefPubMed

13.

Filosso PL, Oliaro A, Donati G, Rena O (2001) Post-traumatic hernia of the lung. Eur J Cardiothorac Surg 19:360CrossRefPubMed

14.

Cernilia JC, Lin J, Ott R, Scannell G, Waxman K (1995) A technique for repair of traumatic parasternal lung herniation: a case report. J Trauma 38:935–936PubMed

15.

François B, Desachy A, Cornu E, Ostyn E, Niquet L, Vignon P (1998) Traumatic pulmonary hernia: surgical versus conservative management. J Trauma 44:217–219PubMed

16.

Van Den Bossche MRP, Leman G, Ballaux KEW, Himpens J (1999) Video-assisted thorascopic repair of an intercostal pulmonary hernia. Surg Endosc 13:166–167CrossRefPubMed

17.

Aldridge AJ, Simson JNL (2001) Erosion and perforation of colon by synthetic mesh in a recurrent paracolostomy hernia. Hernia 5:110–112PubMed

18.

Fernandez Lobato R, Martinez Santos C, Ortega Deballon P, Fradejas Lopez JM, Marin Lucas FJ, Moreno Azcoita M (2001) Colocutaneous fistula due to polypropylene mesh. Hernia 5:107–109PubMed

19.

Weitzel SH, Botha AJ, Thomas PA (1998) Late colocutaneous fistula after mesh repair of an inguinal hernia. Hernia 2:39–40

20.

Susmallian S, Gewurtz G, Ezri T, Charuzi I (2001) Seroma after laparoscopic repair of hernia with PTFE patch: is it really a complication? Hernia 5:139–141

21.

Lampl LH, Loeprecht H (1988) Chest wall resection — alloplastic replacement. Thorac Cardiovasc Surg 36:157–158PubMed

22.

Moore EE, Burch JM, Franciose RJ, Offner PJ, Biffl WL (1998) Staged physiologic restoration and damage control surgery. World J Surg 22:1184–1190PubMed

Title: Repair of intercostal pulmonary herniation
Authors: V. Fackeldey
K. Junge
D. Hinck
A. Franke
S. Willis
H. P. Becker
V. Schumpelick
Publication date: 01-12-2003
Publisher: Springer-Verlag
Published in: Hernia / Issue 4/2003
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-003-0135-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Repair of intercostal pulmonary herniation

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2003

Biography: Edward Earle Shouldice (1890–1965)

Incisional hernia from iliac bone grafting site — a report of two cases

Three-dimensional mesh for ventral hernias: a new technique for an old problem

The suturing concept for laparoscopic mesh fixation in ventral and incisional hernias: Preliminary results

Announcement Volume 7, Issue 4, 2003

Pubomyoaponeurotic foramen and posterior groin plait for groin hernia