Evidence map›Paper›PMID 39241201›Full record

ArticleBrazilian journal of cardiovascular surgery2024

Intercostal Lung Hernias Presenting After Minimally Invasive Cardiac Surgery.

Eric E Vinck, Ricardo A Zapata, Cristian A Tarazona, Camilo Montoya Medina, Ubaldo E Rivas, Juan C Rendón, José J Escobar, Omar A Matar, Laura A Gómez, Dora E Lopera

Abstract read
In one paragraph

Article in Brazilian journal of cardiovascular surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Lung hernia: an updated narrative review.Journal of thoracic disease · 2026
    Review
  2. Article
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Eric E VinckDepartment of Thoracic and Cardiovascular Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Antioquia, Colombia.ORCID 0000-0002-9728-3910
Ricardo A ZapataDepartment of Thoracic and Cardiovascular Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Antioquia, Colombia.
Cristian A TarazonaDepartment of Thoracic and Cardiovascular Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Antioquia, Colombia.
Camilo Montoya MedinaDepartment of Thoracic and Cardiovascular Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Antioquia, Colombia.
Ubaldo E RivasDepartment of Thoracic and Cardiovascular Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Antioquia, Colombia.
Juan C RendónDepartment of Thoracic and Cardiovascular Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Antioquia, Colombia.
José J EscobarDepartment of Thoracic and Cardiovascular Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Antioquia, Colombia.
Omar A MatarDepartment of Thoracic and Cardiovascular Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Antioquia, Colombia.
Laura A GómezDepartment of Thoracic and Cardiovascular Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Antioquia, Colombia.
Dora E LoperaDepartment of Thoracic and Cardiovascular Surgery, Cardio VID Clinic, Pontifical Bolivarian University, Medellín, Antioquia, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWith the introduction of minimally invasive cardiac surgery, more commonly cases of lung herniation are starting to appear. Acquired lung hernias are classified as postoperative, traumatic, pathologic, and spontaneous. Up to 83% of lung hernias are intercostal. Herein, we describe patients presenting with intercostal lung hernias following minimally invasive cardiac surgery at a single center in Medellín, Colombia.

methodsWe conducted a retrospective search of all patients presenting with intercostal lung hernias secondary to minimally invasive cardiac surgery at our clinic in Medellín since the beginning of our program, from 2010 to 2022. Mini-sternotomies were excluded from our study. We reviewed the incision type and other possible factors leading to intercostal lung hernia development. We also describe the approach taken for these patients.

resultsFrom 2010 up until 2022, 803 adult patients underwent minimally invasive cardiac surgeries through a mini-thoracotomy. At the time of data retrieval, nine patients presented with intercostal lung hernias at the previous incision site. Five hernias (55%) were from right 2nd intercostal parasternal mini-thoracotomies for aortic valve surgeries. Four hernias (45%) were from right 4th intercostal lateral mini-thoracotomies for mitral valve surgeries. Our preferred repair technique is a video-assisted thoracoscopic mesh approach.

conclusionMinimally invasive cardiac surgical approaches are becoming more routine. Proper wound closure is critical in preventing lung hernias. Additionally, timely diagnosis and opportune hernia surgery using video-assisted thoracoscopic mesh repair can prevent further complications.

Indexed as

Cardiac Surgical ProceduresLung DiseasesMinimally Invasive Surgical ProceduresAdultAgedFemaleHerniaHerniorrhaphyHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesThoracic Surgery, Video-AssistedThoracotomyCardiac Surgical ProceduresHerniaLungMitral ValveSternotomySurgical MeshThoracotomyVideo-Assisted Thoracic Surgery

Identifiers

PMID39241201
PMCPMC11379376

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.