Herniation after deep circumflex iliac artery flap: two cases of rare complication

Hee Sung Kim, Jae Young Kim, Hyuk Hur, Woong Nam

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Herniation after harvesting of deep circumflex iliac artery (DCIA) flap is a known but not a common complication. It occurs about 2.8 to 9 % according to the literatures and can proceed to a more severe complication such as bowel obstruction. There are several factors that exacerbate the risk: surgical factors, operator factor, and patient factors. Surgical factors include large anatomical defect and denervation of related muscles. Operator factor stands for unpunctual suture technique. Patient factors represent obesity, diabetes, pulmonary disease, smoking habits, and so on. Thus, herniation might occur regardless of meticulous suture. Herein, we would like to report two cases of herniation after DCIA flap harvesting and repaired by Lichtenstein tension-free hernioplasty with literature review.

Original languageEnglish
Article number10
JournalMaxillofacial Plastic and Reconstructive Surgery
Volume38
Issue number1
DOIs
Publication statusPublished - 2016 Dec

Bibliographical note

Funding Information:
D.L. gratefully acknowledges funding support from the NIH (grant R01 HL147059-01), the start-up package from Massachusetts General Hospital and sponsored research grants from Boehringer Ingelheim.

Funding Information:
D.L. declares that he has received research funding from Boehringer Ingelheim, Indalo Therapeutics, Merck and Unity Biotechnology. D.L. has a financial interest in Mediar Therapeutics and Zenon Biotech. The companies are developing treatments for organ fibrosis. D.L.’s interests were reviewed and are managed by MGH and Partners HealthCare in accordance with their conflict of interest policies.

Publisher Copyright:
© 2016, Kim et al.

All Science Journal Classification (ASJC) codes

  • Surgery

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