Hernia

, Volume 7, Issue 4, pp 215–217 | Cite as

Repair of intercostal pulmonary herniation

  • V. Fackeldey
  • K. Junge
  • D. Hinck
  • A. Franke
  • S. Willis
  • H. P. Becker
  • V. Schumpelick
Case Report

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.

Keywords

Intercostal pulmonary hernia Surgical approach Mesh ePTFE 

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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • V. Fackeldey
    • 1
    • 2
  • K. Junge
    • 2
  • D. Hinck
    • 1
  • A. Franke
    • 1
  • S. Willis
    • 2
  • H. P. Becker
    • 1
  • V. Schumpelick
    • 2
  1. 1.Department of General Visceral and Thoracic SurgeryCentral Hospital of the German Armed ForcesKoblenzGermany
  2. 2.Department of SurgeryRhenish Westphalian Technical University AachenAachenGermany

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