Precardial hernia in a patient with a postoperative sternum defect
E. A. Galliamov,
S. A. Erin,
Yu. B. Busyrev,
G. Yu. Gololobov,
G. S. Gadlevsky,
U. R. Ovchinnikova,
I. R. Khusainov https://doi.org/10.5922/2223-2427-2024-9-1-6
Abstract
The clinical case discussed in this article highlights the challenge of managing precordial or subxiphoid hernias resulting from previous surgical procedures involving median sternotomy. A 72-yearold patient was diagnosed with a postoperative precordial hernia following coronary artery bypass surgery and sternum removal due to osteomyelitis. A combined surgical approach (open and laparoscopic) was employed for hernioplasty. Positive progress was observed in the patient’s condition shortly after surgery, with pain relief attributed to hernial protrusion correction. The patient was discharged in satisfactory condition on the 4th postoperative day. Although precordial hernias are rare, prompt treatment is essential as large hernias can lead to severe cardiopulmonary complications such as cardiac tamponade. Adequate preoperative preparation and determination of surgical strategy are crucial for successful treatment. This study demonstrates an effective and safe surgical approach for precordial-diaphragmatic hernias.
About the Authors
E. A. Galliamov
I. M. Sechenov First Moscow State Medical University (Sechenov University); Clinical Hospital MEDSI in Otradnoe; City Clinical Hospital named after I. V. Davydovsky
Russian Federation
Russian Federation
Dr hab. Eduard A. Gallyamov, Head of the General Surgery Department, Surgeon
19/1 Bolshaya Pirogovskaya St, Moscow, 119146
2 bldg 1 Otradnoe, Krasnogorsk, 143442
11 Yauzskaya St, Moscow, 109240
S. A. Erin
Zhadkevich City Clinical Hospital
Russian Federation
Russian Federation
Sergey A. Erin, Deputy Chief Physician for Surgical Care
14 Mozhayskoye shosse, Moscow, 121374
Yu. B. Busyrev
New World Surgery medical clinic
Russian Federation
Russian Federation
Yurii B. Busyrev, Head of the Surgical Department
16 Dzerzhinskiy St, 16, Zhukovsky, 140185
G. Yu. Gololobov
I. M. Sechenov First Moscow State Medical University (Sechenov University); Clinical Hospital MEDSI in Otradnoe; Zhadkevich City Clinical Hospital
Russian Federation
Russian Federation
Grigorii Yu. Gololobov, Doctoral Student, General Surgery Department, Surgeon
19/1 Bolshaya Pirogovskaya St, Moscow, 119146
2 bldg 1 Otradnoe, Krasnogorsk, 143442
14 Mozhayskoye shosse, Moscow, 121374
G. S. Gadlevsky
I. M. Sechenov First Moscow State Medical University (Sechenov University); Clinical Hospital MEDSI in Otradnoe
Russian Federation
Russian Federation
Gleb S. Gadlevskiy, Assistant Lecturer, General Surgery Department, Surgeon
19/1 Bolshaya Pirogovskaya St, Moscow, 119146
2 bldg 1 Otradnoe, Krasnogorsk, 143442
U. R. Ovchinnikova
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Ulyana R. Ovchinnikova, Student
19/1 Bolshaya Pirogovskaya St, Moscow, 119146
I. R. Khusainov
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Ildar R. Khusainov, Student
19/1 Bolshaya Pirogovskaya St, Moscow, 119146
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Review
For citations:
Galliamov E.A., Erin S.A., Busyrev Yu.B., Gololobov G.Yu., Gadlevsky G.S., Ovchinnikova U.R., Khusainov I.R. Precardial hernia in a patient with a postoperative sternum defect. Surgical practice (Russia). 2024;(1):63-75. (In Russ.) https://doi.org/10.5922/2223-2427-2024-9-1-6
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