Göðüs Cerrahisinin Nadir Bir Komplikasyonu Olan Akciðer Hernisi: Olgu Serisi

Sunulan bu olgular, cerrahi iþlemler sonrasý göðüs duvarýndaki bir defektten akciðer hernisi olabileceðini göstermeyi amaçlamýþtýr. Þubat 2009 ile Haziran 2017 arasýnda, ameliyattan sonra öksürük ve göðüs duvarýnda gözle görülür þiþlik geliþen dört hasta incelendi. Akciðer hernisi, göðüs cerrahisinden ziyade en sýk travmaya baðlý görülen nadir bir durumdur. Olgularýmýzda iki torakotomi, bir VATS ve bir tüp torakostomide herniasyon görüldü. Olgularýn tamamý interkostal yerleþimliydi. Pnömotoraks riski taþýyan bir hasta dýþýnda tüm hastalar iki hafta baskýlý pansuman ile takip edildikten sonra ameliyat edildi. Metotreksat kullanan bir hasta dýþýnda postoperatif komplikasyon görülmedi. Bu hasta miyoplasti sonrasý komplikasyonsuz olarak taburcu edildi. Akciðer hernisi göðüs cerrahisinin nadir görülen bir komplikasyonudur ve daima akýlda tutulmalýdýr. Semptomatik cerrahi sonuçlarý aðrý ve kozmetik nedenler açýsýndan cesaret vericidir.

Lung Hernia as a Rare Complication of Thoracic Surgery: A Case Series

The four cases presented here reveal the possibility of herniation in the lung from defects in the chest wall following surgical procedures. A review was made of four cases who developed cough and a visible swelling of the chest wall after surgery between February 2009 and June 2017. Lung hernia is a rare condition that is most commonly associated with trauma rather than thoracic surgery. In the four presented cases, the herniation occurred following thoracotomies in two cases, VATS in one case and tube thoracostomy in one case. All cases had an intercostal localization. Aside from one patient who was at risk of pneumothorax, all patients were operated after being followed up with a pressure dressing for two weeks. No postoperative complications occurred other than in one patient who was using methotrexate, and this patient was discharged without complications after myoplasty. Lung herniation is a rare complication of thoracic surgery and should always be kept in mind. Symptomatic surgery results are encouraging from the perspectives of pain and aesthetics.