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Thoracic Aorta

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The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...

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The Thoracic Cage: Sternum

The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
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The Thoracic Cage: Ribs

The Thoracic Cage: Ribs

Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
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Breathing

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The process of breathing, inhaling and exhaling, involves the coordinated movement of the chest wall, the lungs, and the muscles that move them. Two muscle groups with important roles in breathing are the diaphragm, located directly below the lungs, and the intercostal muscles, which lie between the ribs. When the diaphragm contracts, it moves downward, increasing the volume of the thoracic cavity and creating more room for the lungs to expand. When the intercostal muscles contract, the ribs...

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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

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Published on: September 11, 2021

[Diaphragmatic hernia in elective thoracic surgery].

V D Parshin¹, M A Khetagurov¹

¹Sechenov First Moscow State Medical University, Moscow, Russia.

|August 17, 2018

Summary

Primary suture is effective for diaphragmatic hernia repair. Mesh prosthetics are recommended for large defects or high failure risk with primary repair, ensuring no recurrence.

Area of Science:

Surgery
Gastroenterology
Thoracic Surgery

Background:

Diaphragmatic hernias present a surgical challenge.
Understanding optimal repair techniques is crucial for patient outcomes.

Purpose of the Study:

To define indications for reconstructive surgery in diaphragmatic hernia patients.
To evaluate the efficacy of primary suture versus mesh repair.

Main Methods:

Retrospective analysis of 36 diaphragmatic hernia patients (1963-2017).
Surgical repair involved primary suture or mesh endoprosthesis for large defects.
Follow-up assessed long-term outcomes and recurrence.

Main Results:

All patients were discharged successfully.

Keywords:

diaphragm repair diaphragmatic hernia thoracic surgery

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Postoperative complications occurred in 11.1% of patients.

No recurrent hernias were observed during long-term follow-up (up to 17 years).

Conclusions:

Primary suture is a viable method for diaphragmatic hernia repair.
Alloplastic (mesh) repair is indicated for large defects or high recurrence risk.
Both methods demonstrated successful outcomes with no recurrence.