Fracturas costales, hernia pulmonar y rotura diafragmática tras acceso de tos

A patient with a pulmonary hernia and chance fracture of the thoracic vertebra following a fall: A case report and literature review

“…There are two central principles in the surgical treatment of pulmonary hernia: sufficient repair and restoration of chest wall stability. The main steps of pulmonary hernia surgery are the preservation of viable lung tissue, resection of the hernia sac and infarcted lung tissue, and repair of the chest wall defect [ 23 ].If the intercostal defect is less than 2 cm, the hernia can be closed by suturing adjacent soft tissues; if the defect is greater than 2 cm, a mesh can be used to repair and reconstruct the chest wall if necessary [ 6 , 20 , [24] , [25] , [26] ].One case reported that the use of H-plates to narrow the space of wide intercostal defects leads to better recovery [ 27 ]. For patients with partial pulmonary hernias and unilateral multiple rib fractures, simply fixing the ribs can achieve long-term satisfactory results [ 28 ].…”