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Ann Thorac Surg 2002;74:1963-1966
© 2002 The Society of Thoracic Surgeons

Original article: general thoracic

Hernia of the lung

Dov Weissberg, MDb*, Yael Refaely, MDa

a Department of Thoracic Surgery, Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel
b Department of Thoracic Surgery, E. Wolfson Medical Center, Holon, Israel

Accepted for publication July 22, 2002.

* Address reprint requests to Dr Weissberg, Department of Thoracic Surgery, E. Wolfson Medical Center, Holon 58100, Israel.
e-mail: dovw{at}ccsg.tau.ac.il

BACKGROUND: Lung hernia is uncommon and methods of management vary. During the past 17 years, we have seen 8 patients with this condition.

METHODS: Between 1984 and 2000, 8 patients with lung hernias were seen on our service. Three hernias were caused by a thoracic operation, one was due to chronic cough, and in four, the hernia was congenital, with delayed presentation.

RESULTS: Three patients had minimal symptoms and were not operated on. Closure of chest wall in the other patients was accomplished by suture approximation of ribs in 4 patients and by polypropylene mesh in 1 patient. There were no recurrences, and these patients remain asymptomatic.

CONCLUSIONS: Intercostal hernias are usually symptomatic and should be treated by operative closure. In supraclavicular hernias, the symptoms are usually minimal and complications are unlikely. These hernias can be left untreated, but the patients should be followed.




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