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Updated: Dec 28, 2025

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Management of lateral abdominal hernias.

N Katkhouda1, E T Alicuben2, V Pham2

  • 1Division of Upper GI and General Surgery, Department of Surgery, Keck School of Medicine of University of Southern California, 1510 San Pablo Street, HCC I, Suite 527, Los Angeles, CA, 90033-4612, USA. Namir.Katkhouda@med.usc.edu.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|February 14, 2020
PubMed
Summary

Anchoring lateral abdominal wall hernia repairs to bony structures may reduce recurrence. This study suggests this technique is a promising solution for challenging lateral hernia repairs, with patients showing no recurrence when mesh is secured to bone.

Keywords:
Flank herniaLateral herniaOpen hernia repairThoracoabdominal hernia

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Area of Science:

  • Abdominal wall surgery
  • Hernia repair techniques
  • Surgical outcomes

Background:

  • Lateral abdominal wall hernias are uncommon but challenging to repair due to their location.
  • High recurrence rates are common following surgical repair of these defects.
  • Limited established protocols exist for the surgical management of lateral hernias.

Purpose of the Study:

  • To investigate the efficacy of anchoring hernia repair to fixed bony structures.
  • To test the hypothesis that this method reduces recurrence rates in lateral abdominal wall hernias.

Main Methods:

  • Retrospective review of patients who underwent lateral hernia repair.
  • Analysis of eight cases including flank and thoracoabdominal hernias.
  • Comparison of outcomes based on mesh fixation to bony landmarks versus non-fixation.

Main Results:

  • No major complications were observed in the reviewed cases.
  • One recurrence occurred in a patient repaired without mesh fixation to bony landmarks.
  • Patients with mesh secured to bony landmarks remained recurrence-free at follow-up.

Conclusions:

  • Lateral hernias pose significant surgical challenges due to their anatomical position.
  • Open repair with mesh fixation to bony structures appears to be a viable and promising approach.
  • This technique may offer a solution to decrease recurrence rates in challenging lateral hernia cases.