Intra-abdominal removal of a displaced hip prosthesis

Abstract

HighlightsLaparotomy and removal of the prosthetic head is possible and preferred in some cases where further damage to the iliac bone may be caused by removal via a usual exterior approach.A sound planning strategy should be made with CT, ultrasound or laparoscopy.Retroperitoneal surgery has been described but intraperitoneal surgery is also a possibility.A good knowledge of pelvic organs and vessels is essential.Combined surgery with vascular surgeons is recommended.

Chapter Arthrosis, Arthroplasty and Current Arthrodesis Approaches

“…Konvansiyonel yaklaşımların yetersiz kaldığı durumlarda yaygın olarak retroperitoneal yaklaşım tercih edilir. Rutherford Morrison inzisyonu olarakta bilinen retroperitoneal yaklaşım, transabdominal inzisyona göre daha sık tercih edilir [27]. Son yıllarda modifiye edilen Stoppa yaklaşımı da alternatif bir intra-abdominal yaklaşımdır.…”