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Recurrent Lateral Abdominal Wall Hernias: Options for Reconstruction.
Gennaya Lynn Mattison1, Seung Ah Lee1, Daniel Enjay Wong2
1From the Department of Plastic Surgery, University of California, Irvine, Orange, Calif.
Plastic and Reconstructive Surgery. Global Open
|December 28, 2023
Summary
This study reviews flank hernias, which are rare after trauma but can recur. An anchored suture repair with polyester mesh may improve outcomes for these challenging abdominal wall defects.
Area of Science:
- Surgical repair techniques
- Abdominal wall reconstruction
- Trauma surgery
Background:
- Lateral abdominal wall hernias, particularly flank hernias, pose significant surgical challenges.
- While often a sequela of surgery, flank hernias from trauma are infrequent.
Observation:
- This article reviews existing literature on flank hernias.
- A specific case of a flank hernia presenting after trauma and recurring post-initial repair is detailed.
Findings:
- The case involved an initial repair that failed, leading to recurrence.
- A subsequent anchored suture repair was performed.
- This repair was reinforced using a polyester underlay mesh.
Implications:
- The findings suggest that complex abdominal wall reconstruction may be necessary for recurrent traumatic flank hernias.
- Polyester mesh reinforcement could be a viable strategy in challenging cases.
- Further research into optimal management for traumatic flank hernias is warranted.
