Laparoscopic Pelvic Ring Implant Removal From the Femoroacetabular Joint During Totally Extraperitoneal Herniorrhaphy: A Case Report and Surgical Technique
Abstract
Minimally invasive surgeries have become more widespread in recently. Laparoscopy is actively used in many surgeries by general surgeons, urologiest, and gynaecologiest. Despite this widespread use of laparoscopy, its use in orthopaedic surgeries has not become widespread and as yet is only seen in literature as case reports and series. Fifty-five years old male patient admitted to orthopaedic outpatient clinic with complaints of right hip and inguinal C-shaped pain that had been ongoing for 3 months. Twelve years ago, the patient had undergone open anterior pelvic fixation (ilioinguinal incision) because of a simple type acetabular anterior wall fracture. An incisional hernia due to the previous pelvic surgery and a femoroacetabular screws was detected. There are two treatment options for this case; open implant removal followed by open hernia repair, or open implant removal than laparoscopic hernia repair in a different session. Insicional hernia treatment and femoraacetabular implant remove performed laparoscopically in the same session, and this is first case of literature. In light of this case, laparoscopy seems promising in the management of complications in orthopedic trauma surgery.
Keywords
References
- Anglen JO. Pelvic Reduction Frame Facilitating Percutaneous Fixation to Pelvic Fractures. Orthop Surg. 2023;15: 1431-1433
- Sakamoto S, Doi K, Hattori Y, Supreeth S, Sonezaki S, Saeki Y. Arthroscopic Removal of a Missed Wooden Foreign Body in the Metacarpophalangeal Joint. J Hand Microsurg. 2021; 15: 227-229
- Lill H, Katthagen C, Voigt C. Technik und Stellenwert der arthroskopischen Implantatentfernung an der Schulter. Orthopade. 2011; 40: 79-84
- Bhatia DN. Arthroscopic radial head implant removal and resection. Arthrosc Tech. 2016; 5: e705-e711.
- Grutter PW, McFarland EG, Zikria BA, Dai Z, Petersen SA. Techniques for suture anchor removal in shoulder surgery. Am J Sports Med. 2010; 38: 1706-10
- Wong JM, Bewsher S, Yew J, Bucknill A, de Steiger R. Fluoroscopically assisted computer navigation enables accurate percutaneous screw placement for pelvic and acetabular fracture fixation. Injury. 2015; 46: 1064-8
- Routt Jr MC, Simonian PT, Grujic L. Preliminary report: the retrograde medullary superior pubic ramus screw for the treatment of anterior pelvic ring disruptions: a new technique. J Orthop Trauma. 1995; 9: 35-44
- Chen H, Guan X, Wang X. Laparoscopic Abdominal Pelvic Anatomical Landmarks and Essentials of Surgical Exploration. In: Natural Orifice Specimen Extraction Surgery: Gastrointestinal Tumor. Springer, 2021 p: 33-40
- Di Francia R, Tanner J-L, Marolleau J. The first use of laparoscopy to treat pelvic ring fractures: a case report. Int J Surg Case Rep. 2020; 76: 60-63
- Thati VN, Kamat MM, Khandelwal NK. Laparoscopic extraction of fractured Kirschner wire from the pelvis. J Minim Access Surg. 2014; 10: 97-8
- Alton TB, Gee AO. Classifications in brief: Letournel classification for acetabular fractures. Clin Orthop Relat Res. 2014; 472: 35-8
- Zhou XL, Luo JH, Huang H, Wang YH, Zhang HB. Totally extraperitoneal herniorrhaphy (TEP): lessons learned from anatomical observations. Minim Invasive Surg. 2021; 21: 5524986
- Quah GS, Eslick GD, Cox MR. Laparoscopic appendicectomy is superior to open surgery for complicated appendicitis. Surg Endosc. 2019; 33: 2072-2082
- Nouralizadeh A, Tabatabaei S, Basiri A, Simforoosh N, Soleimani M, Javanmard B, et al. Comparison of open versus laparoscopic versus hand-assisted laparoscopic nephroureterectomy: a systematic review and meta-analysis. J Laparoendosc Adv Surg Tech A. 2018; 28: 656-681
Total Ekstraperitoneal Herniorafi sırasında femoroasetabular eklemden laparoskopik pelvik implantın çıkarılması: Olgu sunumu ve cerrahi teknik
Abstract
Son yıllarda minimal invaziv cerrahiler daha yaygın hale gelmiştir. Laparoskopi birçok cerrahide genel cerrahlar, ürologlar ve jinekologlar tarafından aktif olarak kullanılmaktadır. Laparoskopinin yaygın kullanımına rağmen ortopedik cerrahilerde kullanımı yaygınlaşmamış olup henüz literatürde sadece olgu sunumları ve vaka serileri mevcuttur. Elli beş yaşında erkek hasta 3 aydır devam eden sağ kalça ve kasık bölgesinde C şeklinde ağrı şikayetiyle ortopedi polikliniğine başvurdu. Hastaya 12 yıl önce basit tip asetabular ön duvar kırığı nedeniyle açık anterior pelvik fiksasyon (ilioinguinal kesi) uygulanmıştır. Önceki pelvik cerrahiye bağlı insizyonel herni ve femoroasetabular vida tespit edildi. Bu olgu için iki tedavi seçeneği vardır; açık implant çıkarılıpaynı seansta açık fıtık onarımı yapılması veya açık implant çıkarılıp farklı seansta laparoskopik herni onarımı yapılması. İnsizyonel herni tedavisi ve femoroasetabular implantın çıkarılması aynı seansta laparoskopik olarak gerçekleştirildi ve bu literatürdeki ilk vakadır. Bu vaka ışığında, laparoskopi ortopedik travma cerrahisinde komplikasyonların yönetiminde umut verici görünmektedir.
Keywords
References
- Anglen JO. Pelvic Reduction Frame Facilitating Percutaneous Fixation to Pelvic Fractures. Orthop Surg. 2023;15: 1431-1433
- Sakamoto S, Doi K, Hattori Y, Supreeth S, Sonezaki S, Saeki Y. Arthroscopic Removal of a Missed Wooden Foreign Body in the Metacarpophalangeal Joint. J Hand Microsurg. 2021; 15: 227-229
- Lill H, Katthagen C, Voigt C. Technik und Stellenwert der arthroskopischen Implantatentfernung an der Schulter. Orthopade. 2011; 40: 79-84
- Bhatia DN. Arthroscopic radial head implant removal and resection. Arthrosc Tech. 2016; 5: e705-e711.
- Grutter PW, McFarland EG, Zikria BA, Dai Z, Petersen SA. Techniques for suture anchor removal in shoulder surgery. Am J Sports Med. 2010; 38: 1706-10
- Wong JM, Bewsher S, Yew J, Bucknill A, de Steiger R. Fluoroscopically assisted computer navigation enables accurate percutaneous screw placement for pelvic and acetabular fracture fixation. Injury. 2015; 46: 1064-8
- Routt Jr MC, Simonian PT, Grujic L. Preliminary report: the retrograde medullary superior pubic ramus screw for the treatment of anterior pelvic ring disruptions: a new technique. J Orthop Trauma. 1995; 9: 35-44
- Chen H, Guan X, Wang X. Laparoscopic Abdominal Pelvic Anatomical Landmarks and Essentials of Surgical Exploration. In: Natural Orifice Specimen Extraction Surgery: Gastrointestinal Tumor. Springer, 2021 p: 33-40
- Di Francia R, Tanner J-L, Marolleau J. The first use of laparoscopy to treat pelvic ring fractures: a case report. Int J Surg Case Rep. 2020; 76: 60-63
- Thati VN, Kamat MM, Khandelwal NK. Laparoscopic extraction of fractured Kirschner wire from the pelvis. J Minim Access Surg. 2014; 10: 97-8
- Alton TB, Gee AO. Classifications in brief: Letournel classification for acetabular fractures. Clin Orthop Relat Res. 2014; 472: 35-8
- Zhou XL, Luo JH, Huang H, Wang YH, Zhang HB. Totally extraperitoneal herniorrhaphy (TEP): lessons learned from anatomical observations. Minim Invasive Surg. 2021; 21: 5524986
- Quah GS, Eslick GD, Cox MR. Laparoscopic appendicectomy is superior to open surgery for complicated appendicitis. Surg Endosc. 2019; 33: 2072-2082
- Nouralizadeh A, Tabatabaei S, Basiri A, Simforoosh N, Soleimani M, Javanmard B, et al. Comparison of open versus laparoscopic versus hand-assisted laparoscopic nephroureterectomy: a systematic review and meta-analysis. J Laparoendosc Adv Surg Tech A. 2018; 28: 656-681
Details
| Primary Language | English |
|---|---|
| Subjects | General Surgery, Orthopaedics |
| Journal Section | CASE REPORTS |
| Authors | |
| Publication Date | May 20, 2025 |
| Submission Date | January 14, 2025 |
| Acceptance Date | February 7, 2025 |
| Published in Issue | Year 2025 Volume: 6 Issue: 2 |
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