Name of the Procedure:

Repair Lung Hernia through Chest Wall (Thoracic Lung Hernia Repair)

Summary

Thoracic lung hernia repair is a surgical procedure to fix a condition where the lung protrudes through an abnormal opening in the chest wall. This often involves reinforcing the chest wall and placing the lung back into its correct position.

Purpose

The procedure addresses lung hernias, where part of the lung bulges through weak areas of the chest wall. The goal is to restore normal anatomy, alleviate symptoms, and prevent complications such as breathing difficulties or recurrent lung infections.

Indications

• Visible bulging or lump on the chest wall.
• Pain or discomfort in the chest area.
• Difficulty breathing or shortness of breath.
• History of trauma or surgery that weakens the chest wall.

Preparation

• Pre-procedure fasting typically required (6-8 hours).
• Adjustment of certain medications as advised by the physician.
• Chest X-rays or CT scans to assess the hernia.
• Blood tests and a thorough medical history review.

Procedure Description

1. Anesthesia: The patient is administered general anesthesia.
2. Incision: A surgical incision is made in the chest wall near the hernia site.
3. Reduction: The protruding lung tissue is carefully moved back into its normal position.
4. Repair: The chest wall defect is repaired using sutures, mesh, or other supportive materials to strengthen the area.
5. Closure: The incision is closed with sutures or staples, and a dressing is applied.

Duration

The procedure typically takes 2 to 3 hours, depending on the complexity of the hernia.

Setting

This surgery is usually performed in a hospital operating room.

Personnel

• Thoracic Surgeon
• Anesthesiologist
• Surgical Nurses
• Surgical Technician

Risks and Complications

• Infection at the surgical site.
• Bleeding or hematoma.
• Pneumothorax (collapsed lung).
• Pain or discomfort at the incision site.
• Recurrence of the lung hernia.
• Risks associated with anesthesia.

Benefits

• Alleviation of chest pain and discomfort.
• Improved breathing and lung function.
• Prevention of future complications related to the hernia.
• Expected benefits may be realized within a few weeks post-surgery.

Recovery

• Hospital stay of 2-4 days for monitoring.
• Pain management with medications.
• Gradual return to normal activities over 4-6 weeks.
• Follow-up appointments to monitor healing and ensure no recurrence.
• Avoid heavy lifting or strenuous activities during the recovery period.

Alternatives

• Watchful waiting in asymptomatic cases.
• Non-surgical management techniques (e.g., supportive clothing).
• Pros of alternatives: Less invasive, lower immediate risk.
• Cons of alternatives: Risk of worsening hernia or sudden complications.

Patient Experience

• During the procedure: The patient will be under general anesthesia and will not feel pain.
• After the procedure: Some pain and discomfort managed with medication, possibly a chest tube if required for drainage.
• Pain management: Adequate pain relief through intravenous or oral medications.
• Comfort measures: Breathing exercises and physical therapy as directed by the healthcare team to facilitate recovery.