Division of Upper GI and General Surgery, Department of Surgery, Keck School of Medicine of University of Southern California, 1510 San Pablo Street, HCC I, Suite 527, Los Angeles, CA, 90033-4612, USA.
Hernia. 2020 Apr;24(2):353-358. doi: 10.1007/s10029-020-02126-5. Epub 2020 Feb 12.
Lateral abdominal wall hernias are rare defects but, due to their location, repair is difficult, and recurrence is common. Few studies exist to support a standard protocol for repair of these lateral hernias. We hypothesized that anchoring our repair to fixed bony structures would reduce recurrence rates.
A retrospective review of all patients who underwent lateral hernia repair at our institution was performed.
Eight cases (seven flank and one thoracoabdominal) were reviewed. The median defect size was 105 cm (range 36-625 cm). The median operative time was 185 min (range 133-282 min). There were no major complications. One patient who was repaired without mesh attachment to bony landmarks developed a recurrence at ten months and subsequently underwent reoperation. Patients with mesh secured to bony landmarks were recurrence free at a median follow-up of 171 days.
Lateral hernias present a greater challenge due to their anatomic location. An open technique with mesh fixation to bony structures is a promising solution to this complex problem.
侧腹壁疝是罕见的缺陷，但由于其位置，修复困难，且易复发。目前几乎没有研究支持这些侧疝修复的标准方案。我们假设将修复固定在固定的骨结构上可以降低复发率。
对我院所有接受侧疝修补术的患者进行回顾性研究。
共 8 例（7 例侧腹壁疝和 1 例胸腹侧腹壁疝）患者接受了回顾性研究。中位缺损大小为 105cm（范围 36-625cm）。中位手术时间为 185 分钟（范围 133-282 分钟）。无重大并发症。1 例未将补片固定在骨标志上的患者在 10 个月时发生复发，随后再次接受手术。中位随访 171 天，将补片固定在骨标志上的患者无复发。
由于侧腹壁疝的解剖位置，其修复更具挑战性。开放式技术联合骨结构固定补片是解决这一复杂问题的有前途的方法。
