Repair of a Pulmonary Hernia after Thoracotomy with an Intrapleural Mesh: a Case Report

Authors

  • José Pedro Gonçalves Department of General Surgery, Hospital Pedro Hispano, Matosinhos, Portugal https://orcid.org/0000-0002-3735-3921
  • Rita Costa Department of Cardiothoracic Surgery, Thoracic Surgery Functional Unit, Centro Hospitalar Universitário São João, Porto, Portugal https://orcid.org/0000-0001-7831-8711
  • Anita Paiva Department of Cardiothoracic Surgery, Thoracic Surgery Functional Unit, Centro Hospitalar Universitário São João, Porto, Portugal https://orcid.org/0000-0003-1595-7166
  • Pedro Fernandes Department of Cardiothoracic Surgery, Thoracic Surgery Functional Unit, Centro Hospitalar Universitário São João, Porto, Portugal https://orcid.org/0000-0002-8655-106X
  • Carlos Pinto Department of Cardiothoracic Surgery, Thoracic Surgery Functional Unit, Centro Hospitalar Universitário São João, Porto, Portugal https://orcid.org/0000-0003-4231-6102

DOI:

https://doi.org/10.48729/pjctvs.318

Keywords:

lung, hernia, thoracotomy, surgical mesh, muscle flap

Abstract

Pulmonary hernias are rare. They can be congenital, but mostly are acquired. Usually asymptomatic, they are diagnosed on physical examination or, incidentally, on imaging exams. Surgical treatment is required for large, increasing, or symptomatic hernias, and incarcerated or strangulated ones.

This is a clinical case of a symptomatic postoperative pulmonary hernia. It occurred two years after a posterolateral thoracotomy for the resection of an intercostal myxolipoma. The tumor was resected en bloc with a partial segment of the 10th left rib and immediate reconstruction was made with an onlay polypropylene mesh. The postoperative hernia was successfully treated with a double-faced mesh of polypropylene and ePTFE.

This surgery provided a functional and aesthetic enhancement for the patient, greatly improving his quality of life. This approach is, therefore, considered safe and effective.

Downloads

Download data is not yet available.

References

Scelfo C, Longo C, Aiello M, Bertorelli G, Crisafulli E, Chetta A. Pulmonary hernia: Case report and review of the literature. Respirol Case Reports. 2018;6(8):1–4.

Shameem M, Saad T, Bhargava R, Ahmed Z, Pandey DK, Fatima N. Hernia of lung through the anterior chest wall. Respir Med CME. 2008;1(2):137–9.

Mhamdi S, Aouini I, Daboussi S, Mahfoudhi H, Lassoued M Ben, Kallel M, et al. Intercostal lung herniation secondary to thoracotomy: A case report. Pan Afr Med J. 2020;36:1–5.

van den Brink WA, Meek JCE, Boelhouwer RU. Herniation of the lung following video-assisted minithoracotomy. Surg Endosc. 1995 Jun;9(6):706–8.

Varona Porres D, Pallisa E, Sánchez AL, Persiva O. Usefulness of Thoracic Ultrasound in the Diagnosis of Intercostal Pulmonary Hernias. Arch Bronconeumol. 2019;55(4):225–6.

Zia Z, Bashir O, Ramjas GE, Kumaran M, Pollock JG, Pointon K. Intercostal lung hernia: Radiographic and MDCT findings. Clin Radiol. 2013;68(7):e412–7.

Ishida A, Oki M, Saka H, Seki Y. Postoperative intercostal lung hernia. Respirol Case Reports. 2018;6(5):e00323.

Corten BJGA, Van Dijk WA, Bilderbeek-Beckers M, Janzing HMJ. Traumatic herniation of the lung. Acta Chir Belg. 2016;116(5):322–4.

Lehmann CJ, Daftary AS, Machogu EM. Apical Lung Herniation Associated with Continuous Positive Airway Pressure in a 4-Year-Old Girl. J Clin Sleep Med. 2016;12(11):1565 – 6.

Porrero JL, Cano-Valderrama O, Castillo MJ, Marcos A, Tejerina G, Cendrero M, et al. Importance of mesh overlap on hernia recurrence after open umbilical hernia repair with bilayer prosthesis. Am J Surg. 2018;216(5):919–22.

Downloads

Published

04-04-2023

How to Cite

1.
Gonçalves JP, Costa R, Paiva A, Fernandes P, Pinto C. Repair of a Pulmonary Hernia after Thoracotomy with an Intrapleural Mesh: a Case Report. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Apr. 4 [cited 2024 May 22];30(1):57-9. Available from: https://pjctvs.com/index.php/journal/article/view/318

Issue

Section

Clinical Cases

Categories

Most read articles by the same author(s)

1 2 > >>