Magyar sebészet
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The authors present two cases of atraumatic (spontaneous) thoracic lung hernias, which are extreme rarities in the international literature, too. Risk factors and clinical pictures discussed and operative treatments are demonstrated. The spontaneous thoracic (intercostal) hernias were provoked by intractable cough caused by chronic obstructive pulmonary disease (COPD) in both cases. ⋯ Finally, the authors briefly discuss data of thoracic hernias published in the Hungarian and the international literature. They conclude that the awareness of this extremely rare condition is important due to the high prevalence of COPD as a risk factor. Diagnostic imaging demonstrated can provide significant help in the correct diagnosis of similar cases.
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Mesh implantation techniques are increasingly common in groin hernia repairs in Hungary. The mesh can be inserted via the traditional Lichtenstein technique or laparoscopic methods. ⋯ The medial and wider part of the mesh was slid in the preperitoneal space under Cooper's ligament and Lotheissen's sutures were fixed 1.5 centimeters from the edge of the mesh. Thus, in the case of a possible suture insufficiency, the probability of hernia recurrence is reduced due to the adhesion between the mesh and the surrounding tissue.