Retroperitoneal Incisional Hernia Secondary to Lumbar Revision Surgery. Description of the Surgical Repair Technique with Mesh and Intertransverse Fixation: A Case Report

DOI: https://doi.org/10.15417/issn.1852-7434.2026.91.2.2237
Keywords: Retroperitoneal incisional hernia, retroperitoneal herniorrhaphy, failed lumbar spine surgery

Abstract

Introduction: Lumbar spine revision surgery is a procedure performed when mechanical or biological complications arise after primary surgeries. The surgical approach can alter the anatomy of the posterior abdominal wall, weakening it and leading to hernias at this level. Objective: To describe the surgical technique for repairing an incisional hernia in the retroperitoneum after lumbar revision surgery, using mesh and intertransverse fixation. Conclusions: Lumbar incisional hernias secondary to lumbar spine revision surgery are rare. They can be repaired in the same surgical stage by placing a polypropylene mesh with intertransverse transosseous fixation, yielding good and reproducible results.

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Author Biographies

Bryan Andrés Orellana Tapia, Universidad de Cuenca, Cuenca, Ecuador
Physician. University of Cuenca, Cuenca, Ecuador. Master’s degree in Health Research Methodology.
Cecibel Y. Cevallos Agurto, Hospital General Docente Vicente Corral Moscoso, Cuenca, Ecuador
Hospital General Docente Vicente Corral Moscoso, Cuenca, Ecuador. Physician, specialist in General Surgery and Trauma and Emergency Surgery.
Juan Carlos Ortiz Calle , Hospital de Especialidades José Carrasco Arteaga, Cuenca, Ecuador
Hospital de Especialidades José Carrasco Arteaga, Cuenca, Ecuador Physician, specialist in General Surgery.
Juan Diego Mora Tola , Universidad de Cuenca, Cuenca, Ecuador
Universidad de Cuenca, Cuenca, Ecuador. Physician, specialist in Orthopedics and Traumatology, with specialization in spine surgery.

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Published
2026-04-30
How to Cite
Orellana Tapia, B. A., Cevallos Agurto , C. Y., Ortiz Calle , J. C., & Mora Tola , J. D. (2026). Retroperitoneal Incisional Hernia Secondary to Lumbar Revision Surgery. Description of the Surgical Repair Technique with Mesh and Intertransverse Fixation: A Case Report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 91(2), 177-183. https://doi.org/10.15417/issn.1852-7434.2026.91.2.2237
Issue
Vol 91 No 2 (2026)
Section
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