초록 close

Herniation after harvesting of deep circumflex iliac artery (DCIA) flap is a known but not a common complication. Itoccurs about 2.8 to 9 % according to the literatures and can proceed to a more severe complication such as bowelobstruction. There are several factors that exacerbate the risk: surgical factors, operator factor, and patient factors. Surgical factors include large anatomical defect and denervation of related muscles. Operator factor stands forunpunctual suture technique. Patient factors represent obesity, diabetes, pulmonary disease, smoking habits, and soon. Thus, herniation might occur regardless of meticulous suture. Herein, we would like to report two cases ofherniation after DCIA flap harvesting and repaired by Lichtenstein tension-free hernioplasty with literature review.