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Traumatic intercostal pulmonary hernia.

J Forty1, F C Wells

  • 1Department of Surgery, Papworth Hospital, Papworth Everard, Cambridgeshire, England.

The Annals of Thoracic Surgery
|April 1, 1990
PubMed
Summary
This summary is machine-generated.

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Traumatic intercostal pulmonary hernia in children may resolve spontaneously, but surgical repair with a Gore-Tex patch is effective for persistent cases. This rare injury requires careful management consideration.

Area of Science:

  • Pediatric surgery
  • Thoracic trauma
  • Medical device technology

Background:

  • Traumatic intercostal pulmonary hernia is a rare consequence of chest injury, particularly in pediatric patients.
  • Non-penetrating injuries can also lead to this condition, complicating diagnosis and management.
  • Previous reports suggest spontaneous regression and conservative treatment are viable options.

Observation:

  • A pediatric case presented with a persistent intercostal defect and lung hernia that did not regress.
  • The defect had smooth, non-proliferative walls, differing from typical traumatic hernias.
  • Conservative management was initially considered but deemed unsuitable due to lack of resolution.

Findings:

  • Successful surgical repair was achieved using a Gore-Tex (expanded polytetrafluoroethylene) patch.

Related Experiment Videos

  • The patch provided a durable and effective closure for the intercostal defect.
  • Histological examination of the defect is pending but initial observations suggest a unique presentation.

    • Implications:

    • Surgical intervention is a recommended treatment for pediatric intercostal pulmonary hernias that do not resolve spontaneously.
    • Gore-Tex patching offers a reliable method for repairing these rare thoracic defects.
    • Delayed surgical intervention may be considered to allow for potential spontaneous resolution in select cases.