Posthemipelvectomy hernia.
We report the case of a white male who underwent a classic hemipelvectomy due to a femur fibrosarcoma with inguinal metastases, which 33 years later, developed into a posthemipelvectomy hernia in the amputation stump that impaired the use of his Canadian prosthesis. The hernia was repaired with a polypropylene mesh in a subaponeurotic position. A seroma was drained in the postoperative and it was only 2 months after the operation that he could use his prosthesis with any difficulty. A year after the operation, the hernia had not recurred. Only seven similar cases have been published, and there are only four cases with details of their correction, two with a mesh as was our case, and the rest with a primary suture of the aponeurotic borders. A brief review of the bibliography is given on this subject.
Die Trill
J
J
Clínica Moncloa, Fundación General Universidad de Alcalá (FGUA), c/José Donoso 2, 5 B, Madrid, 28050, Spain. javierdie@hotmail.com
Madrid
J M Fernández
JM
Ferrero
E
E
Igea
J
J
Torres
A
A
Gómez
J L
JL
Medina
I
I
Canales
C
C
Perea
F
F
Carda
P
P
García Villanueva
A
A
Die Goyanes
A
A
D005266:Femoral Neoplasms / Q000601:surgery; D005354:Fibrosarcoma / Q000601:surgery; D006428:Hemipelvectomy; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery