Incisional Hernia After Minimally Invasive Lateral Retroperitoneal Surgery: Case Series and Review of the Literature
| Autor: | Jason Paluzzi, Jacob Januszewski, Luv Hajirawala, Shashank Gandhi, Juan S. Uribe, Andrew C. Vivas |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Flank medicine.diagnostic_test business.industry Incisional hernia Magnetic resonance imaging Fascia medicine.disease Single surgeon 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences surgical procedures operative 0302 clinical medicine medicine.anatomical_structure medicine Retroperitoneal space Hernia Neurology (clinical) Complication business 030217 neurology & neurosurgery |
| Zdroj: | Operative Neurosurgery. 16:368-373 |
| ISSN: | 2332-4260 2332-4252 |
| DOI: | 10.1093/ons/opy089 |
| Popis: | Background Minimally invasive lateral retroperitoneal (lateral-MIS) approaches to the spine involve traversing the lateral abdominal wall musculature and fascia. Incisional hernia is an uncommon approach-related complication. Objective To review the incidence, treatment, and preventative measures of incisional hernia after lateral-MIS approaches. Methods This is a retrospective review of cases performed by a single surgeon from 2011 to 2016. All patients who underwent lateral-MIS approaches at this institution were included. Patients with a postoperative diagnosis of lateral hernia on physical exam and corroborating advanced imaging findings were included in this study. Cases of flank bulge due to peripheral nerve injury were excluded. Results Three-hundred three patients underwent lateral-MIS approaches to the spine. Three (1%) patients with incisional hernia were identified. Two patients presented with a clinically symptomatic incisional hernia, while 1 patient was diagnosed incidentally after a routine abdominal magnetic resonance imaging for an unrelated reason. No patients suffered bowel entrapment or strangulation. Conclusion Incisional hernia after lateral-MIS approaches is rare. Patients with incisional hernias may be susceptible to bowel incarceration and ischemia, though the incidence of this is probably low. Meticulous closure of the fascia is critical to avoiding this complication. |
| Databáze: | OpenAIRE |
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