Patten Lane C, Awad Samir S, Berger David H, Fagan Shawn P
Michael E. DeBakey Department of Surgery, Michael E. DeBakey Veteran's Affairs Medical Center, Surgical Services VA 112, 2002 Holcombe Blvd., Houston, TX 77030, USA.
Am J Surg. 2004 Jul;188(1):85-8. doi: 10.1016/j.amjsurg.2003.10.026.
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.
自髂骨取骨用于骨移植手术出现以来，腰椎疝这一临床病症越来越常见。这些疝的修复在技术上可能非常困难，且复发率很高。
我们使用一种螺旋锚钉缝合装置，开发出一种新颖且简单的修复这些疝且无复发的方法。在此，我们介绍我们使用螺旋缝合锚钉装置的经验。
我们机构已对2例患者实施了该技术，在这两个病例中，疝均成功修复。我们对该技术的1年随访显示修复完好，无复发迹象。
沿髂嵴残余部分放置螺旋缝合锚钉是一种简单的技术，所需的骨暴露极少。尽管该区域缺乏筋膜，但锚钉有助于网片的长期固定。我们得出结论，这是一种修复这些具有挑战性的疝的简单而有效的方法。
