A novel technique for the repair of lumbar hernias after iliac crest bone harvest

American Journal of Surgery
Lane C PattenShawn P Fagan

Abstract

Lumbar hernia is a clinical entity that has been increasingly more common since the advent of iliac bone harvest for bone grafting procedures. These can be very technically difficult to repair and have a high recurrence rate. Using a corkscrew anchor suture device, we have developed a novel and simple way to repair these hernias with no recurrence. Here we present our experience with the corkscrew suture anchor device. This technique has been performed in 2 patients at our institution, and in both cases, the hernia was successfully repaired. Our 1-year follow-up on this technique demonstrates intact repairs with no sign of recurrence. The placement of corkscrew suture anchors along the iliac crest remnant is a simple technique requiring minimal bony exposure. The anchors facilitate the long-term fixation of mesh despite the lack of fascia in this area. We conclude that this is a simple and effective approach for repair of these challenging hernias.

References

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Citations

Jun 17, 2008·Surgical and Radiologic Anatomy : SRA·O ArmstrongJ M Rogez
Jul 26, 2008·Surgical and Radiologic Anatomy : SRA·Marios LoukasMohammadali Shoja
May 12, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M LoukasS Wu
Feb 20, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M LoukasY Krutoshinskaya
Jan 18, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Y RenardJ-P Palot
Sep 8, 2012·Surgical Innovation·Alfredo Moreno-EgeaMarian C Cuervo
May 25, 2006·Annals of the Royal College of Surgeons of England·Andrew Kingsnorth
Jul 24, 2020·Acta chirurgica Belgica·Stijn Van ClevenFrederik Berrevoet
Jun 17, 2021·Revista do Colégio Brasileiro de Cirurgiões·Maria Pessole Biondo SimõesSilvania Klug Pimentel

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