Τίτλος:
Pericardial hernias in adults: A systematic review of the literature
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
OBJECTIVES: A pericardial hernia is defined as the protrusion of abdominal viscera through the central tendon of the diaphragm into the pericardial sac. It is a rare clinical entity whose symptoms vary considerably. The objective of this study was to evaluate the clinical manifestations of and the optimal surgical treatments for pericardial hernias. METHODS: PubMed and the Cochrane bibliographical databases were searched (last search: 20 April 2019) for studies on pericardial diaphragmatic hernias in the adult population. RESULTS: Eighty studies met our inclusion criteria and reported on 85 patients (62 men and 23 women) with a mean age of 55.86 ± 15.79 years (mean ± standard deviation) presenting with a pericardial hernia at health care facilities. The leading aetiology was trauma (56.5%) followed by iatrogenic interventions (30.6%). The most common herniated organs were the transverse colon (49.4%) and the greater omentum (48.2%). Seventy-one patients (83.5%) underwent an open surgical repair, whereas 14 (16.5%) had a laparoscopic approach. Mesh or a patch was applied in 41.9% of cases. A postoperative morbidity rate of 16.9% was recorded, whereas the mortality rate reached 2.4%. CONCLUSIONS: Pericardial hernia is a rare disease characterized by abdominal organs herniating into the pericardium. It requires a high degree of suspicion for early diagnosis, and all medical professionals should be encouraged to report such cases to clarify the best available therapeutic approach. © 2019 The Author(s) 2019. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
Συγγραφείς:
Schizas, D.
Katsaros, I.
Karatza, E.
Theochari, N.A.
Kykalos, S.
Nastos, C.
Michalopoulos, N.
Avgerinos, D.V.
Chatzimavroudis, G.
Arkadopoulos, N.
Περιοδικό:
Interactive Cardiovascular and Thoracic Surgery
Εκδότης:
Oxford University Press
Λέξεις-κλειδιά:
abdominal pain; abdominal surgery; adult; bloating; clinical feature; constipation; diaphragm hernia; dyspnea; faintness; greater omentum; health care facility; heart arrhythmia; human; iatrogenic disease; injury; laparoscopic surgery; morbidity; mortality rate; nausea; open surgery; pericardial disease; pericardial hernia; priority journal; Review; surgical mortality; systematic review; thorax pain; thorax surgery; transverse colon; vomiting; diaphragm hernia; herniorrhaphy; laparoscopy; omentum; pericardium; procedures; surgical mesh, Adult; Hernia, Diaphragmatic; Herniorrhaphy; Humans; Laparoscopy; Omentum; Pericardium; Surgical Mesh
DOI:
10.1093/icvts/ivz292
