Prevascular hernias of the abdominal wall

a difficult problem, a difficult repair

W. Khreiss, A. A. Shah, M. G. Sarr

Research output: Contribution to journalArticle

Abstract

Introduction: Secondary prevascular hernias occurring anterior to the iliofemoral vessels and involving the lower abdominal wall are rare. These hernias can be difficult to repair because of loss of the inguinal ligament and the musculofascial elements of the inguinal region. Materials and methods: We describe a new technique of repair using an intraperitoneal sling of prosthetic material. The sling is sewn posteriorly to the anterior surface of the sacrum, and is then draped caudally to be sewn to the pubis and Cooper’s ligaments before being reflected anterior to be sewn to the posterior surface of the anterior abdominal wall. This sling “patches” the hernia defect as a form of intraperitoneal sublay. Conclusions: We describe three such patients with satisfactory results at follow-ups of 8–16 months. Potential problems and considerations are discussed.

Original languageEnglish (US)
Pages (from-to)517-521
Number of pages5
JournalHernia
Volume19
Issue number3
DOIs
StatePublished - Apr 22 2014

Fingerprint

Abdominal Wall
Hernia
Groin
Ligaments
Pubic Bone
Sacrum

Keywords

  • Inguinal hernia
  • Mesh repair
  • Prevascular hernia
  • Sling repair

ASJC Scopus subject areas

  • Surgery

Cite this

Prevascular hernias of the abdominal wall : a difficult problem, a difficult repair. / Khreiss, W.; Shah, A. A.; Sarr, M. G.

In: Hernia, Vol. 19, No. 3, 22.04.2014, p. 517-521.

Research output: Contribution to journalArticle

Khreiss, W. ; Shah, A. A. ; Sarr, M. G. / Prevascular hernias of the abdominal wall : a difficult problem, a difficult repair. In: Hernia. 2014 ; Vol. 19, No. 3. pp. 517-521.
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