Atraumatic lung hernia

Anesthetic implications of traumatic pulmonary hernia repair

“…Traumatic pulmonary herniation has been reported more than 300 times in the literature, although anesthetic management has not been discussed in detail [1][2][3]. Morel-Lavallee [4] published the most commonly used classification system in 1845.…”

“…mortality especially with pneumonectomy, thus reduction is favored [11]. The surgical approach to reduction of a pulmonary herniation is generally via an anterolateral thoracotomy [12] or anteroaxillary thoracotomy [13]. A transvertical thoracotomy [14] and video-assisted repair [15] have also been reported.…”

Intercostal lung hernia in a 7-year-old boy

“…5 These groups are stratified further according to the presumed etiology as congenital or acquired; the latter group contains the traumatic, "spontaneous," and the pathologic varieties.…”

“…The hernia is readily diagnosed on a Valsalva maneuver 5,10 and is associated with a splaying of the affected intercostal space on the x-ray. 5 A limited computed tomography of the chest with a Valsalva maneuver can also show the hernia but is necessary only if the clinical and radiologic pictures are not conclusive. 10 Our patient had findings that fit typically into that of the spontaneous lung hernias.…”

Lung herniation: a rare complication in minimally invasive cardiothoracic surgery☆

“…Lung herniation, defined as a protrusion of the lung parenchyma with pleural membranes through a defect of the thoracic wall, is a rare entity [1,2]. As minimally invasive cardiothoracic procedures evolve, different complications may be evident such as lung herniation.…”