Precardial hernia in a patient with a postoperative sternum defect

The clinical case discussed in this article highlights the challenge of managing precordial or subxiphoid hernias resulting from previous surgical procedures involving median sternotomy. A 72-yearold patient was diagnosed with a postoperative precordial hernia following coronary artery bypass surgery and sternum removal due to osteomyelitis. A combined surgical approach (open and laparoscopic) was employed for hernioplasty. Positive progress was observed in the patient’s condition shortly after surgery, with pain relief attributed to hernial protrusion correction. The patient was discharged in satisfactory condition on the 4th postoperative day. Although precordial hernias are rare, prompt treatment is essential as large hernias can lead to severe cardiopulmonary complications such as cardiac tamponade. Adequate preoperative preparation and determination of surgical strategy are crucial for successful treatment. This study demonstrates an effective and safe surgical approach for precordial-diaphragmatic hernias.