Fackeldey V, Junge K, Hinck D, Franke A, Willis S, Becker H P, Schumpelick V
Department of General Visceral and Thoracic Surgery, Central Hospital of the German Armed Forces, Koblenz, Germany.
Hernia. 2003 Dec;7(4):215-7. doi: 10.1007/s10029-003-0135-z. Epub 2003 May 10.
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.
钝性胸部创伤数年之后发生的肋间肺疝是一种罕见现象。我们报告一例66岁患者，其在安全带损伤2年后出现肺疝。实施了开胸手术，用可吸收缝线缝合骨膜以闭合胸壁缺损。术后过程顺利。讨论了不同的手术方法及人工补片的使用。用可吸收缝线对相邻肋骨进行骨膜固定通常足以修复肺疝。在需要使用人工补片的情况下，应用聚四氟乙烯可能产生最佳效果且并发症最少。
