[Surgical treatment in parasternal diaphragmatic hernias]

The article presents an analysis of experiences with surgical treatment of 26 patients with parasternal diaphragmatic hernias for the period from 1969 till 1999. In most cases (88.5%) right localization was noted. The abdominal mediastinal lipomas were the most frequent cause of the hernias (88.5%). The presence of hernias is considered by the authors as an indication to operation. The thoracotomic and thoracomyorectal accesses were used, the latter being the optimal one. No recurrent hernias were noted in the patients after operation. There were no lethal outcomes.