Successful surgical treatment of mediastinal lung hernia with a mesh implant. Consequent results
https://doi.org/10.20340/vmi-rvz.2023.2.CASE.1
Abstract
An observation from practice is given – surgical treatment of mediastinal pulmonary hernia in a patient after pneumonectomy using the method of anterior mediastinal plastic surgery with a mesh implant with demonstration of long-term results.
The patient I. 31 years old was ill with pulmonary tuberculosis for 3 years, treatment was carried out, against which the stenosis of the left main bronchus progressed. The patient underwent endoscopic operations: argonoplasmic destruction of the left main bronchus, balloon dilation of the left main bronchus, with a temporary effect. Due to recurrent stenosis of the left main bronchus, a pneumonectomy was performed on the left. After 7 months, she complained of severe shortness of breath at rest. Computed tomography revealed a displacement of the mediastinal organs to the left, an upper-anterior pulmonary mediastinal hernia of the right lung to the left midclavicular line at the level of the anterior I-IV intercostals on the left. The patient underwent plastic surgery of the anterior mediastinum on the right using a polymer mesh implant. As a result of treatment, after 3 years, radiologically stable restoration of the position of the only right lung in its hemithorax. The patient is functionally compensated, shortness of breath is not observed. The patient has completely returned to her usual lifestyle.
About the Authors
R. V. Tarasov
Central Tuberculosis Research Institute;
Moscow Medical University "Reaviz"
Russian Federation
Russian Federation
Ruslan V. Tarasov, Surgeon, junior researcher, 2 Yauzskaya alley, Moscow, 107564;
Assistant of the Department of Surgical Diseases, 2, building 2 Krasnobogatyrskaya, Moscow, 107564
E. V. Krasnikova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Elena V. Krasnikova, Dr. Sci. (Med.), Head of the Second Surgical Department,
2 Yauzskaya alley, Moscow, 107564
S. S. Sadovnikova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Svetlana S. Sadovnikova, Dr. Sci. (Med.), Thoracic Surgeon, Head of the First Surgical Department,
2 Yauzskaya alley, Moscow, 107564
E. A. Shergina
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Elena A. Shergina, Cand. Sci. (Med.), Doctor of Functional Diagnostics, Head of the Department of Functional Diagnostics,
2 Yauzskaya alley, Moscow, 107564
Y. O. Chesalina
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Yana O. Chesalina, Endoscopist,
2 Yauzskaya alley, Moscow, 107564
M. A. Bagirov
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Mammad A. Baghirov, Cand. Sci. (Med.), thoracic surgeon, head of the surgical department,
2 Yauzskaya alley, Moscow, 107564
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For citations:
Tarasov R.V., Krasnikova E.V., Sadovnikova S.S., Shergina E.A., Chesalina Y.O., Bagirov M.A. Successful surgical treatment of mediastinal lung hernia with a mesh implant. Consequent results. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2023;13(2):103-107. (In Russ.) https://doi.org/10.20340/vmi-rvz.2023.2.CASE.1
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