Wcisło Szymon, Wawrzycki Marcin, Misiak Piotr, Brocki Marian
Department of Thoracic Surgery, General Surgery and Oncology, Medical University of Lodz, Poland.
Kardiochir Torakochirurgia Pol. 2015 Mar;12(1):26-9. doi: 10.5114/kitp.2015.50564. Epub 2015 Mar 31.
In this paper we present a new method of pulmonary hernia surgical treatment. Pulmonary hernia is a rare pathology. The first description of pulmonary hernia was made by Roland in 1499. The world literature describes only a little more than 300 cases of pulmonary hernia. Pulmonary hernia is defined as the projection of the lung tissue covered by the parietal pleura beyond the normal boundaries of the pleural cavity, through the pathological holes in the chest wall. During our work as thoracic surgeons, we have used different ways of thoracic chest wall reconstructive operations and anastomoses of the broken ribs.
To search for optimal methods of pulmonary hernia surgery and to evaluate a new technique of pulmonary hernia surgical repair using intramedullary titanium implants.
In 2013 in our clinic, we diagnosed and cured two patients with idiopathic pulmonary hernia. We performed a reconstructive operation of the chest wall with anastomosis of the broken ribs using titanium intramedullary stabilization implants - splints.
To date, the annual observation has revealed no recurrence of pulmonary hernia or postoperative complications. At present, the patients demonstrate full life activity.
So far, in the world literature, we have not encountered any information about using such methods to repair pulmonary hernia. We regard our method as safe, easy to use and giving good therapeutic results.
在本文中，我们介绍一种治疗肺疝的新方法。肺疝是一种罕见的病症。1499年罗兰首次描述了肺疝。世界文献中仅记载了300多例肺疝病例。肺疝被定义为覆盖壁层胸膜的肺组织通过胸壁的病理性孔洞突出到胸膜腔正常边界之外。在我们作为胸外科医生的工作中，我们采用了不同的胸廓胸壁重建手术方法以及肋骨骨折吻合术。
寻找肺疝手术的最佳方法，并评估使用钛制髓内植入物进行肺疝手术修复的新技术。
2013年，我们诊所诊断并治愈了两名特发性肺疝患者。我们使用钛制髓内稳定植入物——夹板对胸壁进行了重建手术并对肋骨骨折进行了吻合。
迄今为止，年度观察显示未出现肺疝复发或术后并发症。目前，患者生活活动完全正常。
到目前为止，在世界文献中，我们尚未遇到任何关于使用此类方法修复肺疝的信息。我们认为我们的方法安全、易于使用且治疗效果良好。
