髂嵴骨移植后腰椎切口疝修补术
Lumbar incisional hernia repair after iliac crest bone graft.
作者信息
Do Michael V, Richardson William S
机构信息
Department of General Surgery, Ochsner Clinic Foundation, New Orleans, LA.
出版信息
Ochsner J. 2012 Spring;12(1):80-1.
Abstract
The iliac crest is a common donor site for autogenous bone grafts. Among the reported complications, lumbar hernias occur infrequently with a reported incidence of 5% to 9%. Surgical repair is advocated secondary to the risk of incarceration or strangulation. Computed tomography is the diagnostic study of choice. Various transabdominal, retroperitoneal, and laparoscopic approaches have been described for the repair of lumbar hernias. We describe a case of successful lumbar incisional hernia repair after iliac crest bone graft harvesting that used prosthetic mesh.
摘要
髂嵴是自体骨移植常用的供骨部位。在已报道的并发症中，腰椎疝并不常见，报道的发生率为5%至9%。鉴于存在嵌顿或绞窄风险，主张进行手术修复。计算机断层扫描是首选的诊断检查。已经描述了多种经腹、腹膜后和腹腔镜手术入路用于修复腰椎疝。我们报道了1例在髂嵴取骨后成功使用人工补片修复腰椎切口疝的病例。
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