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

Abstract

Herniationafterharvesting ofdeepcircumflexiliacartery(DCIA)flapis a known but not a commoncomplication. It occurs about 2.8 to 9% according to the literatures and can proceed to a more severecomplicationsuch 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,herniationmight occur regardless of meticulous suture. Herein, we would like to reporttwocasesofherniationafterDCIAflapharvesting and repaired by Lichtenstein tension-free hernioplasty with literature review.