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Related Concept Videos

Veins of Thorax01:19

Veins of Thorax

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The azygos system is a crucial part of the body's circulatory system and drains most of the thorax. It comprises the azygos, hemiazygos, and accessory hemiazygos veins.
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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Muscles of the Thorax01:25

Muscles of the Thorax

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The thorax muscles are central to the body's respiration and provide essential support and movement for the upper body. They are intricately designed to facilitate the complex breathing process while also contributing to the structural integrity and mobility of the chest and upper limbs.
The diaphragm is at the core of thoracic musculature, the primary muscle involved in breathing. This expansive, dome-shaped muscle marks the division between the thoracic and abdominal cavities. It...
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Pneumothorax-I01:26

Pneumothorax-I

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Muscles of the Abdomen01:21

Muscles of the Abdomen

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The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
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Related Experiment Video

Updated: Dec 23, 2025

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

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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
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
Rib fracture and herniaSpontaneous diaphragm herniaSpontaneous intercostal herniaSpontaneous thoracoabdominal herniaThoracoabdominal hernia

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Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
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Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
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Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair

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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.