Advertisement

Surgery of the Chest Wall and Diaphragm

  • Peter Slinger
Chapter

Abstract

Surgery for benign chest wall deformities is most commonly performed for cosmetic reasons but in some cases for restrictive respiratory or cardiac symptoms. Postexcision, chest wall defects larger than 5 cm will require reconstruction to diminish paradoxical motion and impaired gas exchange. All full-thickness diaphragm defects should be repaired when diagnosed to prevent late onset of perforation or strangulation of abdominal contents in the chest. Diaphragm eventration requires repair only for symptoms of impaired gas exchange.

Keywords

Chest wall surgery Diaphragm surgery Tumors Congenital deformities Thoracic outlet syndrome Hernia repair Eventration 

References

  1. 1.
    Pairolero PC, Arnold PG. Chest wall tumors: experience with 100 consecutive patients. J Thorac Cardiovasc Surg. 1985;90:367–73.PubMedGoogle Scholar
  2. 2.
    Morshuis W, Folgering H, Barentsz J, et al. Pulmonary function before surgery for pectus excavatum and at long-term follow-up. Chest. 1994;105:1646–52.CrossRefPubMedGoogle Scholar
  3. 3.
    Park HJ, Lee SY, Lee CS, et al. The Nuss procedure for pectus excavatum. Ann Thorac Surg. 2004;77:289–95.CrossRefPubMedGoogle Scholar
  4. 4.
    Huttl TP, Wichmann MW, Reichart B, et al. Laparoscopic diaphragmatic plication. Surg Endosc. 2004;18:547–51.CrossRefPubMedGoogle Scholar
  5. 5.
    Kucharczuk J. Surgery of pectus deformities. In: Patterson GA, editor. Pearson’s thoracic and esophageal surgery. 3rd ed. Amsterdam: Elsevier. 2008; p. 1333.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of AnesthesiaToronto General HospitalTorontoCanada

Personalised recommendations