Surgical vs. nonsurgical management of post-traumatic intercostal lung herniation in children

Complicated spontaneous intercostal lung hernia - A rare clinical case

“…Early surgical repair is, therefore, the method of choice in the treatment of spontaneous intercostal lung hernias. [ 10 11 12 13 14 ] This method has a low morbidity rate and ensures good postoperative result and excellent long-term prognosis, which was also demonstrated in the present case. Conservative management of intercostal lung hernias, with compressive pads and corsets, is recommended only for those patients with extremely high cardiovascular perioperative risk.…”

“…The repair of intercostal lung hernia may be performed with or without the use of synthetic patch by conventional (thoracotomy) or mini-invasive (thoracoscopic) approach. [ 10 11 12 13 14 ] The conventional thoracotomy with only pericostal sutures for stabilization of the intercostal space was the method of choice in the presented case. Moreover, repair of the diaphragmatic defect was performed.…”