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June 1969

Iliac Artery Thrombosis Associated With the Use of a Truss

Author Affiliations

From the Department of Surgery, Sinai Hospital of Detroit.

Arch Surg. 1969;98(6):758-759. doi:10.1001/archsurg.1969.01340120106017

The use of a truss in the management of inguinal hernias is less than ideal treatment. It is associated with the complications of adhesions and intestinal strangulation,1 progressive weakening of anatomic structures in the inguinal region,2,3 increasing the size of the hernia,2 and testicular atrophy.2 The case reported represents a unique complication of the use of a truss, in which iliac artery thrombosis resulted from the compressive forces exerted by the truss. To our knowledge, arterial thrombosis caused by a hernial prosthesis is unreported in the English literature and adds one more reason why such devices are to be avoided in the treatment of inguinal hernias.

A 48-year-old man had a two-week history of progressive numbness, decreasing warmth, and claudication of the right leg. Symptoms were progressive and finally incapacitating. The patient had a 20-year history of a right inguinal hernia for which he had continuously