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Lumbar and para-iliac hernias: an alternative technique
Maria Pessole Biondo Simões1,2, Alexandre Contin Mansur3, Silvania Klug Pimentel1,2
1- Universidade Federal do Paraná, Departamento de Cirurgia - Curitiba - PR - Brasil.
Revista Do Colegio Brasileiro De Cirurgioes
|June 16, 2021
Summary
This study presents a surgical technique for rare lumbar and supra-iliac hernias, often occurring after iliac bone graft removal. Fixing a propylene mesh to the iliac bone effectively corrected these complex hernias with no recurrence in a 5-year study.
Area of Science:
- Surgical Innovation
- Abdominal Wall Reconstruction
- Hernia Repair
Background:
- Lumbar and para-iliac hernias are uncommon complications following procedures like iliac bone graft removal, nephrectomies, and retroperitoneal aortic surgery.
- The incidence of hernia after iliac graft removal can range from 0.5% to 10%, posing a challenge due to the increasing use of iliac crest bone grafts.
Purpose of the Study:
- To report a surgical technique for correcting complex lumbar and supra-iliac hernias.
- To evaluate the efficacy and recurrence rates of fixing a propylene mesh to the iliac bone for hernia repair.
Main Methods:
- A retrospective analysis of 10 patients with lumbar/supra-iliac hernias treated over 5 years.
- Surgical correction involved fixing a propylene mesh to the iliac bone to address the hernia defect.
Main Results:
- Out of 165 patients treated, 10 (6%) presented with supra-iliac and lumbar hernias.
- The technique of fixing the mesh to the iliac bone resulted in no hernia recurrence during a mean follow-up of 33 months (range: 2-48 months).
Conclusions:
- Fixing a propylene mesh to the iliac bone is an effective technique for correcting complex lumbar and supra-iliac hernias.
- This surgical approach offers a durable solution with a low recurrence rate for hernias associated with iliac bone graft removal and other abdominal surgeries.
