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Christopher W. Seder, MD, Mark S. Allen, MD, Francis C

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1 Primary and Prosthetic Repair of Acquired Chest Wall Hernias: A 20-Year Experience 
Christopher W. Seder, MD, Mark S. Allen, MD, Francis C. Nichols, MD, Dennis A. Wigle, MD, PhD, K. Robert Shen, MD, Claude Deschamps, MD, Stephen D. Cassivi, MD, MS  The Annals of Thoracic Surgery  Volume 98, Issue 2, Pages (August 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Computed tomography (CT) demonstrates herniation of liver and colon through a cough-induced transdiaphragmatic chest wall hernia. (A) and (B) Level of mid and lower thorax. (C) Level of upper abdomen. (D) Level of lower abdomen. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 A cough-induced transdiaphragmatic chest wall hernia containing liver and colon. (A) Anterior view in supine position. (B) Anterior view in left lateral decubitus position. (C) Posterior view in left lateral decubitus position. (D) Lateral view in left lateral decubitus position. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Repair of a cough-induced transdiaphragmatic chest wall hernia. (A, B) Primary repair of diaphragmatic defect. (C) Chest wall herniorrhaphy using 2-mm Gore-Tex (W.L. Gore & Associates, Flagstaff, AZ). (D) Completed repair. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Fluoroscopic demonstration of an acquired chest wall hernia.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions


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