Surgical repair of a thigh muscle herniation with synthetic mesh
DOI:
https://doi.org/10.23938/ASSN.0877Keywords:
Muscular hernia, Thigh, Synthetic meshAbstract
We present the case of a 14-year-old female patient with a big muscle hernia in the thigh after extraction of a fascia lata strip to repair bilateral congenital ptosis. After three weeks, a progressive emergence of a large bulge between the two thigh incisions in a standing position was noticeable, with local discomfort, dull pain on exertion and unsightly appearance that worried the patient. On surgery three months later, a large tear in the fascia lata and muscle herniation was revealed. The fascial tear was debrided and a synthetic mesh was applied. Ten years later, the patient confirmed her continued asymptomatic condition.
Muscular hernia of significant size as a consequence of a fascia lata strip harvest is extremely infrequent in adolescents. Surgical repair of big muscular hernias in extremities with synthetic mesh, usually used in groin hernia repair, is an infrequent orthopaedic tool but is safe, easy to apply and inexpensive.
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