Incisional hernia through iliac crest defects

  title={Incisional hernia through iliac crest defects},
  author={Munir Hamad and S. A. Majeed},
  journal={Archives of Orthopaedic and Trauma Surgery},
SummaryAlthough the iliac crest ist 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… 
Incisional hernia through iliac crest bone graft donor sites
Bone graft harvesting from the iliac crest is a frequent procedure used in orthopaedic surgery to obtain autologous bone for various operations, but if a full-thickness graft is taken, the resulting bony defect can lead to the formation of incisional hernia.
Incisional hernia secondary to iliac crest graft extraction: Transosseous repair with polypropylene mesh
Transiliac hernias are difficult to repair, as the hernia ring is within the bone, but the reparation described is extremely secure and may avoid recurrence.
Incisional hernia from iliac bone grafting site — a report of two cases
Mesh hernioplasty of hernia following iliac bone grafting gives good results and may be considered the method of choice of repair of this uncommon type of hernian.
Hernia through iliac crest defect post bone graft harvesting: a rare complication
The case of a 65-year-old obese lady who developed hernia through the iliac crest defect after bone graft harvesting is reported, which was managed by repair of iliAC crest defect with a Titanium mesh and reinforcement of the abdominal wall defects with a synthetic mesh.
Incisional hernias due to loss of bone substance in the pelvic girdle
The authors recommend the use of reinforcing prostheses for repair of these hernias having used them successfully in these four cases.
Iliac Crest Herniation Secondary to Autogenous Bone Grafting Found on Osteopathic Examination
A high index of suspicion for graft site herniation is needed for patients with a history of iliac crest bone grafting who present with symptoms of abdominal pain, flank or hip pain, ileus, or small-bowel obstruction.
Incisional Hernia after Periacetabular Osteotomy
The incidence of incisional abdominal hernias, an unreported complication after a Bernese periacetabular osteotomy, was evaluated and the surgeon should recognize the importance of restoring continuity of the abdominal fascia in patients with such factors.
Transiliac hernia: a case report with short review of literature
A case of hernia from the iliac crest used to harvest bone graft for a case of Femur shaft non-union is reported and bone graft substitutes should be strongly considered in these patients.
Laparoscopic hernia repair following iliac crest harvest
The laparoscopic approach to the repair of hernias resulting from tricortical iliac crest bone harvest is safe and may be preferable to open repair, andvantages include durable repair, better interoperative visualization, and reduced post-operative pain, morbidity, and hospital stay.
Surgical harvesting of bone graft from the ilium: point of view.
A comprehensive literature synthesis of the incidence and severity of complications reported to be associated with this commonly practiced procedure is provided.


Repair of herniae through iliac-crest defects.
  • D. Bosworth
  • Medicine
    The Journal of bone and joint surgery. American volume
  • 1955
Repairs of herniations through defects in the mid-portion of the iliac crest, even when quite extensive, has been successfully accomplished in three cases by the procedure given.
Strangulated lumbar hernia and volvulus following removal of iliac crest bone graft.
A case of a woman aged 88 years with a volvulus and strangulated small bowel in a hernia, following removal of iliac crest for bone grafting, is described. Emphasis is laid on prevention of an
Plastic mesh repair of incisional hernias.
Hernias through donor sites for iliac-bone grafts.
In the fourteen patients whose cases have been reported previously, only eleven of the herniae occurred following the removal of bone for grafts i-:i.i-i I, of the three remaining patients, one had a loss of the full thickness of the ilium from a wan injury4 and one, from radical d#{233}bnidement of bone because of pyogenic osteomyelitis ‘ .
Lumbar hernia in an iliac bone graft defect. A case report.
A hernia developed in the region of the inferior lumbar triangle of Petit 1.5 years after a full thickness bone graft had been taken from the part of the iliac crest that forms the base of the
Freeze-dried proximal femur allografts in revision total hip arthroplasty. A preliminary report.
Freeze-dried allograft bone ws implanted for restoration of extensive bone loss in the proximal for restored of extensiveBone allog grafts were employed only for large proximal femoral deficiencies in 14 patients with failed total hip arthroplasty.
Management of herniation through large iliac bone defects.
Hernia through an iliac bone-graft donor site. A case report.
  • R. L. Reid
  • Medicine
    The Journal of bone and joint surgery. American volume
  • 1968