G���s Cerrahisinin Nadir Bir Komplikasyonu Olan Akci�er Hernisi: Olgu Serisi

Bayram, Serkan; Aky�l, Mustafa; G�rer, Deniz; Erdizci, Pelin; Kosif, Aysun; Yucel, Ayse Eece; Tezel, �a�atay Saim; Baysungur, Volkan

Cilt : 13 Say� : 3 Y�l : 2024

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G��s Cerrahisinin Nadir Bir Komplikasyonu Olan Akci�er Hernisi: Olgu Serisi [Respir Case Rep]

Respir Case Rep. 2022; 11(3): 165-169 | DOI: 10.5505/respircase.2022.26032

G��s Cerrahisinin Nadir Bir Komplikasyonu Olan Akci�er Hernisi: Olgu Serisi

Serkan Bayram¹, Mustafa Aky�l¹, Deniz G�rer², Pelin Erdizci¹, Aysun Kosif¹, Ayse Eece Yucel¹, �a�atay Saim Tezel³, Volkan Baysungur¹
¹Sa�l�k Bilimleri �niversitesi S�reyyapa�a G��s Hastal�klar� Ve G��s Cerrahisi E�itim Ve Ara�t�rma Hastanesi, �stanbul
²Medikal Park Mersin Hastanesi, Mersin
³Liv Hastanesi, �stanbul

Sunulan bu olgular, cerrahi i�lemler sonras� g��s duvar�ndaki bir defektten akci�er hernisi olabilece�ini g�stermeyi ama�lam��t�r. �ubat 2009 ile Haziran 2017 aras�nda, ameliyattan sonra �ks�r�k ve g��s duvar�nda g�zle g�r�l�r �i�lik geli�en d�rt hasta incelendi. Akci�er hernisi, g��s cerrahisinden ziyade en s�k travmaya ba�l� g�r�len nadir bir durumdur. Olgular�m�zda iki torakotomi, bir VATS ve bir t�p torakostomide herniasyon g�r�ld�. Olgular�n tamam� interkostal yerle�imliydi. Pn�motoraks riski ta��yan bir hasta d��nda t�m hastalar iki hafta bask�l� pansuman ile takip edildikten sonra ameliyat edildi. Metotreksat kullanan bir hasta d��nda postoperatif komplikasyon g�r�lmedi. Bu hasta miyoplasti sonras� komplikasyonsuz olarak taburcu edildi. Akci�er hernisi g��s cerrahisinin nadir g�r�len bir komplikasyonudur ve daima ak�lda tutulmal�d�r. Semptomatik cerrahi sonu�lar� a�r� ve kozmetik nedenler a��s�ndan cesaret vericidir.

Anahtar Kelimeler: Akci�er hernisi, iyatrojenik, komplikasyon

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

Serkan Bayram¹, Mustafa Aky�l¹, Deniz G�rer², Pelin Erdizci¹, Aysun Kosif¹, Ayse Eece Yucel¹, �a�atay Saim Tezel³, Volkan Baysungur¹
¹S�reyyapa�a Chest Diseases and Thoracic Surgery Training and Research Hospital, �stanbul, T�rkiye
²Medikal Park Mersin Hospital, Mersin, T�rkiye
³Liv Hospital, �stanbul, T�rkiye

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.

Keywords: Lung herniation, iatrogenic, complication

Sorumlu Yazar: Pelin Erdizci, T�rkiye
Makale Dili: �ngilizce

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H�zl� Arama

G���s Cerrahisinin Nadir Bir Komplikasyonu Olan Akci�er Hernisi: Olgu Serisi

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

G��s Cerrahisinin Nadir Bir Komplikasyonu Olan Akci�er Hernisi: Olgu Serisi