The video shows a case of acquired anterior thoracic lung herniation in a 63-year-old female. This painful herniation developed four years after uncomplicated video-assisted thoracic surgery for lung cancer resection and adjuvant radiation for concomitant breast cancer. The herniation site was remote from all prior incisions, and demonstrated intercostal muscle denervation and radiation fibrosis. The 8 cm x 10 cm chest wall defect was reconstructed with inlay mesh and reinforced with a pedicled latissimus dorsi flap. Six months postoperatively the patient had complete resolution of symptoms, no evidence of herniation, and a stable wound.
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