Flank incisional hernia after lateral approach spine operations: presentation and outcomes after repair

Fadaee, Negin; Zarrinkhoo, E; Assani, Khadij; Capati, Isabel; Towfigh, Shirin

doi:10.1007/s00464-021-08450-w

Cited by 6 publications

(5 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, hardly any cases of retroperitoneal hernias have been reported in the context of spinal surgery, and most of them are incisional hernias associated with lateral approaches to the thoracolumbar spine [9], whose usual clinical presentation is a bulging mass at the their lateral incision site. Although some authors suggest that its true incidence may be underestimated [30], only twenty three cases of incisional hernias have been described as a consequence of a lateral approach to the spine [30][31][32][33][34][35]. Most patients complained of a bulging mass at their lateral incision site.…”

Section: Journal Of Surgical Case Reports and Imagesmentioning

confidence: 99%

An Extremely Rare Case Report of a Retroperitoneal Hernia Following Spinal Surgery

Cañas¹

2022

JSCRI

View full text Add to dashboard Cite

Introduction: Retroperitoneal hernias are extremely rare lumbar wall defects. Secondary hernias can occur after previous flank surgeries, infection or trauma. There is a paucity of literature regarding lumbar incisional hernias, most of them related to lateral approaches to the spine. Research Question: The objective of this article is to report a rare case of a retroperitoneal hernia following spinal surgery. Material and Methods: We review a rare presentation of a symptomatic acquired retroperitoneal hernia following several posterior lumbar spine approaches. An extensive literature review regarding retroperitoneal hernia and its relation to spinal surgery was performed. Results: A successful hernia repair suturing the transversalis fascia to the middle layer of the thoracolumbar fascia using a biological mesh was performed, with resolution of the hernia symptoms. Discussion and Conclusion: Although retroperitoneal hernias are extremely rare, we must emphasize the importance of an adequate surgical exposure in order to preserve the retroperitoneal and thoracolumbar fasciae as biological barriers during surgical approaches to the spine.

show abstract

Section: Journal Of Surgical Case Reports and Imagesmentioning

confidence: 99%

An Extremely Rare Case Report of a Retroperitoneal Hernia Following Spinal Surgery

Cañas¹

2022

JSCRI

View full text Add to dashboard Cite

show abstract

“…The DLIF and XLIF approaches were developed to avoid performing spinal interbody fusion through the anterior approach, due to the risk of iatrogenic vascular injury [1], and they have been increasing in popularity because of expanding indications [2,3]. Six case reports and 1 retrospective study have been published on flank hernias after lateral interbody fusion procedures, totaling 21 flank hernia cases, making them extremely rare [4][5][6][7][8][9][10]. The National Institute for Health and Care Excellence (NICE) guidelines for lateral interbody fusion, based on a systematic review and meta-analysis of 237 articles, do not even mention flank hernias as one of the complications of lateral interbody fusion, demonstrating their rarity [11].…”

Section: Introductionmentioning

confidence: 99%

“…Flank hernias after lateral interbody fusion usually occur within 1 year after surgery and can cause significant morbidity and decreased quality of life for patients [10]. Additionally, there is potential for the incarceration of bowel contents within the hernia, which can be life-threatening, in up to 10% of flank hernias [12].…”

Section: Introductionmentioning

confidence: 99%

“…The development of flank hernias in patients who have undergone DLIF or XLIF is likely due to myofascial dehiscence, becoming a technically challenging problem to repair in the future. It can also be accompanied by muscle denervation during the surgical approach, causing anterior abdominal bulging [10]. In combination with the increasing annual rate of lumbar spinal fusion being performed [13], the rate of incisional flank hernias occurring secondary to lateral interbody fusion approaches will likely increase, necessitating general surgeons to have an armamentarium of techniques for repairing incisional flank hernias.…”

Section: Introductionmentioning

confidence: 99%

“…While many published reports describe open flank hernia repairs [14], only 21 flank hernia repairs have been reported after patients underwent lumbar interbody fusion [4][5][6][7][8][9][10], and there are no published reports of open massive flank hernia repairs utilizing preoperative botulinum toxin injections. In this report, we aim to present the application of preoperative botulinum toxin injections as a strategic approach to enhance the secure re-approximation of fascial layers and reduce recurrence rates in open flank hernia repairs.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of Massive Flank Hernia After Lateral Lumbar Fusion: Preoperative Botulinum Toxin Injections and Open Repair – A Case Report

Cifuentes,

Khan,

Castro Hernandez

et al. 2024

Am J Case Rep

View full text Add to dashboard Cite

Unusual or unexpected effect of treatment Background:Incisional flank hernias represent a complication after lateral lumbar spine surgery. Given the increasing rate of lateral lumbar interbody fusions, the rate of incisional flank hernias will increase. Since there are no reports of open massive flank hernia repair utilizing preoperative botulinum injections, we sought to publish this technique to provide surgeons with an innovative method for preoperatively treating patients with massive flank hernias. Case Report:A 75-year-old man with a history of coronary artery disease, chronic kidney disease, and abdominal hernia repair presented for evaluation of left lateral abdominal and left lower back bulging for 5 months. The symptoms began after an L2-L4 lateral lumbar spinal fusion. Physical examination revealed a left posterior lateral flank bulge. Computed tomography (CT) showed a fat-containing left posterolateral abdominal hernia. The patient was scheduled for CT-guided lateral abdominal wall botulinum injections, followed by open flank hernia repair. He tolerated the surgery well, was admitted for pain control, and discharged on day 2. Repeat imaging with CT at 3 months showed no evidence of patient's prior hernia defect. Conclusions:Open flank hernia repair, in conjunction with preoperative botulinum toxin injections, allows for optimal visualization and re-approximation of the myofascial components of flank hernia defects. Failure to achieve adequate myofascial and skin closure, along with mesh reinforcement, in open flank hernia repair can result in various surgical site complications, including incisional flank hernia recurrence. We recommend further investigation on the benefits of botulinum injections as an adjunct in management of massive flank hernias.

show abstract

New technique of En bloc vertebral resection in the thoracolumbar region assisted by retroperitoneal laparoscopy in a single prone position: first results

Court,

Girault,

Valteau

et al. 2024

Eur Spine J

View full text Add to dashboard Cite

Flank incisional hernia after lateral approach spine operations: presentation and outcomes after repair

Cited by 6 publications

References 26 publications

An Extremely Rare Case Report of a Retroperitoneal Hernia Following Spinal Surgery

An Extremely Rare Case Report of a Retroperitoneal Hernia Following Spinal Surgery

Management of Massive Flank Hernia After Lateral Lumbar Fusion: Preoperative Botulinum Toxin Injections and Open Repair – A Case Report

New technique of En bloc vertebral resection in the thoracolumbar region assisted by retroperitoneal laparoscopy in a single prone position: first results

Contact Info

Product

Resources

About