Christopher W. Seder, MD, Mark S. Allen, MD, Francis C

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Presentation transcript:

Primary and Prosthetic Repair of Acquired Chest Wall Hernias: A 20-Year Experience Christopher W. Seder, MD, Mark S. Allen, MD, Francis C. Nichols, MD, Dennis A. Wigle, MD, PhD, K. Robert Shen, MD, Claude Deschamps, MD, Stephen D. Cassivi, MD, MS The Annals of Thoracic Surgery Volume 98, Issue 2, Pages 484-489 (August 2014) DOI: 10.1016/j.athoracsur.2014.03.021 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomography (CT) demonstrates herniation of liver and colon through a cough-induced transdiaphragmatic chest wall hernia. (A) and (B) Level of mid and lower thorax. (C) Level of upper abdomen. (D) Level of lower abdomen. The Annals of Thoracic Surgery 2014 98, 484-489DOI: (10.1016/j.athoracsur.2014.03.021) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A cough-induced transdiaphragmatic chest wall hernia containing liver and colon. (A) Anterior view in supine position. (B) Anterior view in left lateral decubitus position. (C) Posterior view in left lateral decubitus position. (D) Lateral view in left lateral decubitus position. The Annals of Thoracic Surgery 2014 98, 484-489DOI: (10.1016/j.athoracsur.2014.03.021) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Repair of a cough-induced transdiaphragmatic chest wall hernia. (A, B) Primary repair of diaphragmatic defect. (C) Chest wall herniorrhaphy using 2-mm Gore-Tex (W.L. Gore & Associates, Flagstaff, AZ). (D) Completed repair. The Annals of Thoracic Surgery 2014 98, 484-489DOI: (10.1016/j.athoracsur.2014.03.021) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Fluoroscopic demonstration of an acquired chest wall hernia. The Annals of Thoracic Surgery 2014 98, 484-489DOI: (10.1016/j.athoracsur.2014.03.021) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions