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

Authors
 Hee-Sung Kim  ;  Jae-Young Kim  ;  Hyuk Hur  ;  Woong Nam 
Citation
 Maxillofacial Plastic and Reconstructive Surgery, Vol.38(1) : 10, 2016 
Journal Title
 Maxillofacial Plastic and Reconstructive Surgery 
ISSN
 2288-8101 
Issue Date
2016
Keywords
Bowel obstruction ; Deep circumflex iliac artery (DCIA) flap ; Hernia ; Lichtenstein tension-free hernioplasty ; Reconstruction
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.
Files in This Item:
T201601754.pdf Download
DOI
10.1186/s40902-016-0055-3
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jae Young(김재영) ORCID logo https://orcid.org/0000-0002-9423-438X
Kim, Hee Sung(김희성)
Nam, Woong(남웅) ORCID logo https://orcid.org/0000-0003-0146-3624
Hur, Hyuk(허혁) ORCID logo https://orcid.org/0000-0002-9864-7229
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146937
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