Incisional hernia from iliac bone grafting site ? a report of two cases

Kaushik, Robin; Attri, Ashok Kumar

doi:10.1007/s10029-003-0138-9

Cited by 17 publications

(12 citation statements)

References 8 publications

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“…The size of the bony defect can also be measured exactly. 15 The usefulness of CT scan has been reiterated in all the case reports of transiliac hernia previously published. The management as has been stated in almost all the papers is reduction of the hernia followed by repair with polypropylene mesh and may be considered the treatment of choice for such cases.…”

Section: Discussionmentioning

confidence: 98%

“…The management as has been stated in almost all the papers is reduction of the hernia followed by repair with polypropylene mesh and may be considered the treatment of choice for such cases. 8,7,15 although certain other methods have also been used like soft tissue repair using advancement of various tissues, fascial flaps and tissue flaps. Another method involves…”

Section: Discussionmentioning

confidence: 99%

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Transiliac hernia: a case report with short review of literature

Jetaji¹,

Sorathia²

2016

Int J Res Orthop

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<p>The Iliac crest is considered gold standard among all types of bone graft available-natural or synthetic. There are many reported complications of bone graft harvestation but one of the rarely reported ones is hernia from the donor site. Not more than 15-20 cases have been reported in the last 10 years. We hereby report a case of hernia from the iliac crest used to harvest bone graft for a case of Femur shaft non-union and also review the relevant literature. The risk factors for this particular complication to occur are morbid obesity, female sex and old age. Bone graft substitutes should therefore be strongly considered in these patients. When harvested, the periosteum and soft tissue should be meticulously closed and repaired. CT scan is a fairly conclusive investigation for diagnosis.</p>

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Transiliac hernia: a case report with short review of literature

Jetaji¹,

Sorathia²

2016

Int J Res Orthop

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“…Gastrointestinal herniation through the wing of the ilium after grafting is an extremely rare complication. Fewer than 40 cases have been reported since Oldfield reported a ‘land slide’ hernia of caecum as the first case in 1945 2 3. This complication is more prevalent in women.…”

Section: Discussionmentioning

confidence: 99%

Iliac crest bone graft donor site hernia: not so uncommon

2013

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SUMMARYA 73-year-old man, who had undergone fracture fixation of humerus with LCP plating and bone grafting, presented again with a peri-implant fracture after 1 year. A repeat surgery was contemplated and replating was performed with tricortical bone graft harvested from the iliac crest. In the postoperative period the patient developed a tender swelling at the graft site with nausea and abdominal discomfort. It was managed conservatively thinking it to be a haematoma at the graft site. In the following 2 days his symptoms worsened. A CT abdomen showed the herniation of caecum from the bone graft donor site with obstruction. The patient was taken up for emergency surgical repair, the caecum was reduced and polypropylene mesh hernioplasty was performed. The patient recovered well without recurrence in the follow-up period. Iliac crest bone graft site hernia is not so uncommon and care has to be taken while harvesting. BACKGROUND

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“…3,6,16 Flap tissue repair is another option; the defect can be repaired with the iliopsoas, the aponeruosis of the gluteus medius muscle, a graft of the fascia lata, or the lateral flap of the aponeurosis of the external oblique muscle rotated over the defect. [9][10][11][12][13][14][15][16][17][18][19][20] The decision to use a polypropylene mesh in our patient was based on the size of the defect and the need to remove an intact appendix. With the appendix adhered to the bone, we elected to perform an appendectomy and remove the lead point that was causing the herniation.…”

Section: Management Of Iliac Crest Herniasmentioning

confidence: 99%

Iliac Crest Herniation Secondary to Autogenous Bone Grafting Found on Osteopathic Examination

Ou¹,

Sternfeld²,

Stausmire³

2015

Journal of Osteopathic Medicine

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Surgical repair of difficult or nonunion fractures is frequently performed with autogenous bone grafts, most commonly from the iliac crest. Complications from this procedure may include vessel injury, nerve injury, pelvic instability, bowel herniation, and ileus. The authors report a case of iliac crest herniation in a patient presenting with a small-bowel obstruction 2 years after anterior iliac crest graft harvest for an open reduction and internal fixation repair of a right humeral shaft fracture. An emergency operation revealed that the right colon had herniated through an opening in the right iliac crest. The appendix had adhered to new osseous bone formed postoperatively, requiring an appendectomy. The hernia defect was successfully repaired with polypropylene mesh. A high index of suspicion for graft site herniation is needed for patients with a history of iliac crest bone grafting who present with symptoms of abdominal pain, flank or hip pain, ileus, or small-bowel obstruction.

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Incisional hernia from iliac bone grafting site ? a report of two cases

Cited by 17 publications

References 8 publications

Transiliac hernia: a case report with short review of literature

Transiliac hernia: a case report with short review of literature

Iliac crest bone graft donor site hernia: not so uncommon

Iliac Crest Herniation Secondary to Autogenous Bone Grafting Found on Osteopathic Examination

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