Incisional hernia after periacetabular osteotomy.
The incidence of incisional abdominal hernias, an unreported complication after a Bernese periacetabular osteotomy, was evaluated. Two cases of an incisional hernia above the iliac crest were detected in a series of 950 cases since 1984. Although the incidence has been small, risk factors may be obesity, weak abdominal muscle strength, or increased abdominal pressure attributable to chronic coughing or obstipation. The surgeon should recognize the importance of restoring continuity of the abdominal fascia in patients with such factors.
Department of Orthopedic Surgery, University of Bern, Inselspital, 3010 Berne, Switzerland. Helge.Burmeister@insel.ch
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Burmeister
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Kaiser
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Siebenrock
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Ganz
D000077:Acetabulum / Q000601:surgery*; D000328:Adult; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects*; D012307:Risk Factors