Incisional hernia of the urinary bladder following internal hemipelvectomy.

International Journal of Surgery Case Reports
Nikolaos ArkoulisAthanasios Nisiotis

Abstract

Hemipelvectomies are uncommon operations, usually performed for primary or metastatic malignant disease and less frequently for benign-aggressive tumours. There are very few reports in literature regarding complications of these procedures and even fewer reports about post hemipelvectomy hernias in particular. We present the only reported case of an incisional hernia of the urinary bladder following internal hemipelvectomy for aneurysmal bone cyst of the pubic bone. A careful literature review is also performed. The development of the incisional hernia in the case of our patient can most likely be explained by the absence of advanced malignant disease of the pelvis that not only reduces the life expectancy but also overshadows other complications post hemipelvectomy. Furthermore, her young age and level of fitness allowed for a full postoperative rehabilitation which, combined with the proven anatomical changes of the internal organs following hemipelvectomies and the weakening of the tissues around the operative site, predisposed to the hernia formation. Hemipelvectomies are extensive, anatomically disruptive operations, with significant detriment to the psychosomatic well being of the patients. We presented the only reported ...Continue Reading

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Citations

Jun 27, 2013·Surgery Today·Shin SasakiToshiyuki Watanabe
Sep 13, 2013·Orthopedics·Alexandria StarksJohn A Abraham
Sep 1, 2015·Journal of Orthopaedic Surgery·J ImanishiT Okubo
Jul 15, 2020·Journal of Orthopaedic Surgery and Research·Yuqi ZhangChongqi Tu
Jul 24, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·W C HopeJ L Salluzzo
Jun 8, 2021·Frontiers in Surgery·Benjamin MurphyPeter Choong

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