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Challenging Hernia Locations: Flank Hernias

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The SAGES Manual of Hernia Repair

Abstract

Flank, or lumbar, hernias result from defects in the posterolateral abdominal wall. These are rare hernias, with several studies indicating as few as 300 cases reported in the literature. Flank hernias can be either acquired, usually from trauma or incisional, or congenital which generally occur in two anatomic locations: the inferior or superior lumbar triangles. Lumbar hernias are challenging to repair, principally because the boundaries of the defect are bony (iliac crest or 12th rib), thus making mesh fixation difficult. Given the rare nature of these defects, there is no consensus on technique of repair, nor are there significant prospective trials. Minimally invasive techniques have been applied since 1996 (Burick AJ, Parascandola SA, J Laparoendosc Surg 6(4):259–62, 1996) to these challenging defects. This chapter will review flank hernias and discuss several technical considerations in performing laparoscopic repair.

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Author information

Authors and Affiliations

  1. Department of Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York, NY, USA

    Gregory F. Dakin MD

  2. Department of Surgery, Mayo Clinic, Rochester, MN, USA

    Michael L. Kendrick MD

Authors
  1. Gregory F. Dakin MD
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  2. Michael L. Kendrick MD
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Corresponding author

Correspondence to Gregory F. Dakin MD .

Editor information

Editors and Affiliations

  1. , Mount Sinai Medical Center, Mount Sinai School of Medicine, 1010 5th Avenue, New York, 10028, New York, USA

    Brian P. Jacob

  2. Advanced Hernia Solutions, Department of General Surgery, Transformative Care Institute, 1890 Lpga Blvd Suite 250, Daytona Beach, 32117, USA

    Bruce Ramshaw

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Dakin, G.F., Kendrick, M.L. (2013). Challenging Hernia Locations: Flank Hernias. In: Jacob, B., Ramshaw, B. (eds) The SAGES Manual of Hernia Repair. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4824-2_47

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  • DOI: https://doi.org/10.1007/978-1-4614-4824-2_47

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4823-5

  • Online ISBN: 978-1-4614-4824-2

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