Advertisement

Hernia Surgery pp 183-194 | Cite as

Open Flank Hernia Repair

  • Melissa Phillips LaPinska
  • Austin Lewis
Chapter

Abstract

Flank hernias represent an interesting challenge to the general surgeon. These are rare in number but rising in frequency as traumatic avulsions and post-surgical flank complications become more common. The location of the costal margin and pelvic brim limits the fixation options available in the repair of flank hernias and, thus, surgeons have been forced to evaluate other techniques of mesh overlap in the treatment of these difficult hernias. Understanding of the basic anatomy and tenants of operative repair of these hernias however is important for the general surgeon in today’s practice. Smaller defects can be addressed laparoscopically but for the larger flank defects or those associated with denervation injuries, the open approach to flank hernia repair offers the surgeon the ability to obtain a mesh fixation with the appropriate overlap to confidently repair these unique hernia defects.

Keywords

Flank hernia Open flank hernia repair Bone anchor Iliac bone anchor Atypical hernia repair Loss of domain hernia Pseudoherniation 

Supplementary material

Video 18.1

Open Retromuscular Flank Hernia repair, by Novitsky (MPG 308,678 kb)

References

  1. 1.
    Heniford BT, Iannitti DA, Gagner M. Laparoscopic inferior and superior lumbar hernia repair. Arch Surg. 1997;132:1141–4.CrossRefPubMedGoogle Scholar
  2. 2.
    Stumpf M, Conze J, Prescher A, Junge K, Krones C, Klinge U, Schumpelick V. The lateral incisional hernia: anatomic considerations for a standardized retromuscular sublay repair. Hernia. 2009;13(3):293–7.CrossRefPubMedGoogle Scholar
  3. 3.
    Phillips M, Krpata D, Blatnik J, Rosen M. Retromuscular preperitoneal repair of flank hernias. J Gastrointest Surg. 2012;16(8):1548–53.CrossRefPubMedGoogle Scholar
  4. 4.
    Carbonell A, Kercher K, Sigmon L, Matthews B, Sing R, Kneisl J, Heniford B. A novel technique of lumbar hernia repair using bone anchor fixation. Hernia. 2005;9(1):22–5.CrossRefPubMedGoogle Scholar
  5. 5.
    Yee J, Harold K, Cobb W, Carbonell A. Bone anchor mesh fixation for complex laparoscopic ventral hernia repair. Surg Innov. 2008;15(4):292–6.CrossRefPubMedGoogle Scholar
  6. 6.
    Pauli E, Krpata D, Novitsky Y, Rosen M. Negative pressure therapy for high-risk abdominal wall reconstruction incisions. Surg Infect (Larchmt). 2013;14(3):270–4.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Melissa Phillips LaPinska
    • 1
  • Austin Lewis
    • 1
  1. 1.Department of SurgeryUniversity of Tennessee Health Science CenterKnoxvilleUSA

Personalised recommendations