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Updated: Dec 23, 2025
10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
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Primary thoracoabdominal hernias
M Alayon-Rosario1, K Schlosser2, T Griscom2
1Department of Surgery, Division of Minima Access and Bariatric Surgery, Prisma Health Upstate, 701 Grove Rd, ST 3, Greenville, SC, 29605, USA.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|April 26, 2020
Summary
Primary thoracoabdominal hernias, a rare triad of defects, often arise from forceful coughing. Surgical repair demands complex reconstruction for durable outcomes in these challenging cases.
Area of Science:
- General Surgery
- Abdominal Wall Surgery
- Thoracic Surgery
Background:
- Primary thoracoabdominal hernias are rare, characterized by a triad of intercostal, abdominal wall, and diaphragmatic hernias.
- This study reports on a case series of this rare entity, detailing its evolution and patient outcomes.
Purpose of the Study:
- To describe the characteristics, management, and outcomes of primary thoracoabdominal hernias.
- To highlight the complexity and reconstructive challenges associated with these rare hernias.
Main Methods:
- Retrospective analysis of thoracoabdominal hernia repairs conducted between January 2010 and April 2019.
- Inclusion criteria focused on spontaneous defects, excluding incisional hernias and those from external trauma.
Main Results:
- Sixteen patients were identified with primary thoracoabdominal hernias.
- Most hernias (15/16) developed after forceful coughing; one resulted from strenuous activity.
- Seven patients required additional interventions, including repairs for recurrence and wound complications.
Conclusions:
- Primary thoracoabdominal hernias necessitate a high index of suspicion for diagnosis.
- Durable repair involves complex reconstruction of the thoracoabdominal wall, including diaphragm, intercostal spaces, and abdominal wall reinforcement.
Keywords:
Rib fracture and herniaSpontaneous diaphragm herniaSpontaneous intercostal herniaSpontaneous thoracoabdominal herniaThoracoabdominal herniaMore Related Videos
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