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- Title
THORACIC-ABDOMINAL HERNIA - CASE PRESENTATION.
- Authors
COJOCARU, IOANA IULIA; IONIȚĂ, CORINA FLORICA; SUCIU, BOGDAN ANDREI; MOLNAR, ANCA ALEXANDRA; BUTILCĂ, ILIE ALEXANDRU; CATALIN, COSMA; BRÎNZANIUC, KLARA; HĂLMACIU, IOANA
- Abstract
Thoracic hernia, described as the protrusion of the lung through the chest wall, is one of the rarest pathologies and can be post-traumatic, post-thoracotomies, spontaneous or congenital. After chest trauma, the thoracic hernia can occur immediately, and in some other cases, spontaneous or congenital intercostal hernias can be both symptomatic and asymptomatic. The most common complications are incarceration, followed by strangulation, which can lead even to death in the absence of surgical treatment. Case presentation: we aim to present a 70-year patient with no history of chest trauma or chest surgery admitted to our clinic complaining of a painless, protrusive, expansive tumour of approximately 4x10 cm on VII-IX intercostal space. After clinical examination and imaging investigations, the diagnosis of thoracic hernia was sustained. After appropriate preoperative preparation, the surgical intervention was performed, which consisted of preparation of the diaphragmatic hernia sac, discovered intra-operatively, followed by folding diaphragm suture, peri-costal fixation of the adjacent ribs, and a restoration of the abdominal wall with a Pro-Grip synthetic mesh, (associated abdominal hernia), followed by pleural and subcutaneous drainages. The patient’s evolution was a good one, and on the 8th postoperative day was discharged in good condition. Conclusions: although some thoracic hernias benefit from conservative treatment and sometimes clinical surveillance is accepted, surgical treatment is the gold standard for intercostal pulmonary hernias, which prevents complications. Over time, many surgical techniques have been discussed and implemented, but the most important thing nowadays is the management.
- Subjects
DIAPHRAGMATIC hernia; HERNIA; VENTRAL hernia; ABDOMINAL wall; TRAUMA surgery; OPERATIVE surgery
- Publication
Acta Medica Transilvanica, 2022, Vol 27, Issue 1, p34
- ISSN
1453-1968
- Publication type
Case Study