Incisional hernia through iliac crest defects. A report of three cases with a review of the literature

Affiliations


Abstract

Although the iliac crest is the most common site from which autogenous bone grafts are obtained, complications are surprisingly rare. One of these is incisional hernia through the resulting bony defect. Occasionally, the herniated contents may proceed to obstruction or strangulation and require emergency surgery. Elective repair of such hernias is advisable in order to avoid such complications. Attention to primary closure of bony iliac defects when complete is mandatory to prevent the occurrence of incisional hernia.


Similar articles

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

Ou CJ, Sternfeld WC, Stausmire JM.J Am Osteopath Assoc. 2015 Aug;115(8):518-21. doi: 10.7556/jaoa.2015.107.PMID: 26214826

A case of lumbar hernia occurring through surgical defect of iliac crest.

Lipton DE, Nagendran T.Ala Med. 1995 Apr;64(10):6-7.PMID: 7785645

Lumbar Incisional Hernia Repair: Complete Reconstruction of the Deficient Myofascial Component Using Christmas Tree Bone Anchors.

Baird-Gunning E, Ackermann T, Lim JK.Am Surg. 2019 Mar 1;85(3):280-283.PMID: 30947774

Hernia through an iliac crest bone graft site: report of a case and review of the literature.

Velchuru VR, Satish SG, Petri GJ, Sturzaker HG.Bull Hosp Jt Dis. 2006;63(3-4):166-8.PMID: 16878841 Review.

Iliac crest autogenous bone grafting: donor site complications.

Seiler JG 3rd, Johnson J.J South Orthop Assoc. 2000 Summer;9(2):91-7.PMID: 10901646 Review.


Cited by

Outcome Analysis of Anterior Reconstruction with Rib Grafts in Tuberculosis of the Thoracic Spine.

Srivastava SK, Marathe NA, Bhosale SK, Raj A, Purohit S, Shaikh A, Dhole K.Asian J Neurosurg. 2020 Aug 28;15(3):648-652. doi: 10.4103/ajns.AJNS_52_20. eCollection 2020 Jul-Sep.PMID: 33145221 Free PMC article.

Eruption of a venous malformation through an iliac bone harvesting site after trauma.

Kono T, Saiga A, Tamagawa K, Katsuki K, Nomura M, Hokazono T, Uchida Y.Arch Plast Surg. 2018 Nov;45(6):588-592. doi: 10.5999/aps.2017.01550. Epub 2018 Nov 15.PMID: 30466241 Free PMC article.

A rare case of iliac crest metastasis from acinic cell carcinoma of parotid gland.

Sessa S, Ziranu A, Di Giacomo G, Giovanni A, Maccauro G.World J Surg Oncol. 2014 Mar 1;12:48. doi: 10.1186/1477-7819-12-48.PMID: 24581035 Free PMC article.

Reconstruction of iliac crest with rib to prevent donor site complications: A prospective study of 26 cases.

Dave B, Modi H, Gupta A, Nanda A.Indian J Orthop. 2007 Jul;41(3):180-2. doi: 10.4103/0019-5413.33678.PMID: 21139740 Free PMC article.

Laparoscopic hernia repair following iliac crest harvest.

Yurcisin BM, Myers CJ, Stahlfeld KR, Means JR.Hernia. 2010 Feb;14(1):93-6. doi: 10.1007/s10029-009-0499-9. Epub 2009 Apr 15.PMID: 19367444


KMEL References


References

  1.  
    1. Clin Orthop Relat Res. 1987 Feb;(215):109-21 - PubMed
  2.  
    1. J Bone Joint Surg Am. 1983 Sep;65(7):1023-5 - PubMed
  3.  
    1. J R Coll Surg Edinb. 1987 Aug;32(4):246 - PubMed
  4.  
    1. Am J Surg. 1978 Apr;135(4):559-63 - PubMed
  5.  
    1. Ann Surg. 1960 Dec;152:998-1003 - PubMed
  6.  
    1. J Bone Joint Surg Am. 1955 Oct;37-A(5):1069-73 - PubMed
  7.  
    1. Acta Orthop Scand. 1985 Jun;56(3):273-4 - PubMed
  8.  
    1. J Bone Joint Surg Am. 1968 Jun;50(4):757-60 - PubMed
  9.  
    1. Acta Orthop Scand. 1975 May;46(2):230-3 - PubMed
  10.  
    1. Surgery. 1949 Oct;26(4):601-7 - PubMed