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Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
Muscles that Move the Thigh01:20

Muscles that Move the Thigh

The thigh's motion is primarily governed by muscles originating in the pelvic girdle and inserted into the femur. One crucial muscle, the iliopsoas, is a combination of the psoas major and the iliacus muscles, sharing a common insertion point on the lesser trochanter of the femur.
Three other significant muscles are the gluteus maximus, gluteus medius, and gluteus minimus. The gluteus maximus originates from the posterior surface of the ilium, sacrum, and coccyx, and the thoracolumbar fascia...

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Related Experiment Video

Updated: May 31, 2026

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
05:57

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

Published on: January 6, 2023

Transiliac hernia.

François Radais1, Olivier Facy, Pablo Ortega-Deballon

  • 1Department of Digestive, Thoracic and Surgical Oncology, University Hospital, 1 Bd. Jeanne d'Arc, 21079 Dijon, France.

American Journal of Surgery
|July 12, 2011
PubMed
Summary
This summary is machine-generated.

Transiliac hernias, a rare complication of iliac bone harvesting, can occur years later. This case highlights a successful surgical repair of an incarcerated transiliac hernia in a patient with chronic obstructive pulmonary disease.

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Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability
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Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability

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Last Updated: May 31, 2026

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
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Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability
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Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability

Published on: July 25, 2025

Area of Science:

  • Surgery
  • Gastroenterology
  • Anatomy

Background:

  • Lumbar hernias, particularly transiliac hernias, are infrequent surgical conditions.
  • Bone grafting from the iliac crest is a common orthopedic procedure.
  • Graft-site hernias are a rare but documented complication following iliac bone harvesting.

Observation:

  • A 76-year-old male presented with an incarcerated transiliac hernia 30 years post-iliac bone graft harvesting for femur surgery.
  • The patient had a history of exacerbated chronic obstructive pulmonary disease.
  • Imaging confirmed a defect in the left iliac crest with herniated abdominal contents.

Findings:

  • Surgical exploration via laparotomy revealed a herniated segment of the left colon through the iliac crest defect.
  • The colon was successfully reduced, and the osseous defect was repaired using an omental patch.
  • The patient experienced a good recovery and was discharged.

Implications:

  • This case underscores the potential for delayed presentation of graft-site hernias following iliac bone harvesting.
  • Increased intra-abdominal pressure, potentially exacerbated by conditions like chronic obstructive pulmonary disease, may contribute to hernia formation.
  • Surgical intervention, including omental patching, can effectively manage incarcerated transiliac hernias.