Lumbar hernia following percutaneous nephrolitotomy

Reggio, Ernesto; Sette, Marcelo José Antunes; Lemos, Ricardo; Timm, Odival; Junqueira, Roberto Gomes

doi:10.1590/s1807-59322010001000025

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…The majority of secondary lumbar hernias occur in middle-aged and elderly people, and the causes of secondary lumbar hernias include trauma, infection, surgery, etc . Surgery is the main cause of secondary lumbar hernias, especially surgeries using a back approach, such as nephrectomy, latissimus dorsi muscle transplantation and lumbar incision[ 25 ]. If some important anatomical structures of the back are not protected well, or anatomical structures of man-made destruction are not closed during the operation, postoperative lumbar hernias form relatively easily[ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic repairviathe transabdominal preperitoneal procedure for bilateral lumbar hernia: Three cases report and review of literature

Huang

Long

Chen

et al. 2018

WJCC

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A lumbar hernia is a rare entity, and a bilateral lumbar hernia is much rarer. From May 2015 to October 2017, we treated only three patients with bilateral lumbar hernias. One patient came to the hospital presenting with right-sided abdominal pain, and the other two patients presented with bilateral lumbar masses. The previous bilateral lumbar hernia reported in the literature was repaired by open surgery. The laparoscopic approach via the transabdominal preperitoneal (TAPP) procedure with the self-gripping Parietex ProGrip™ mesh was performed at our center. The laparoscopic repair was conducted by a skilled hernia surgeon, and was successfully performed in the three patients. The patients resumed a semi-liquid diet and had no activity restriction after six hours following the operation. No antibiotics were used after the surgery. The operative times of the three patients were 120 min, 85 min, and 130 min. The blood loss volumes of the three patients were 20 mL, 5 mL, and 5 mL. The visual analogue scale pain scores of the three patients were 1, 2, and 2 on postoperative day 1, and were 1, 2, and 1 on postoperative day 3. No perioperative complications, such as bulge, wound infection and hematoma, occurred after the surgery. All of the patients were discharged on the third day after the operation. There was no chronic pain and no hernia recurrence during the follow-up. This study showed that the laparoscopic TAPP approach with the self-gripping mesh is safe and feasible, and can be considered an alternative method for the treatment of bilateral lumbar hernias.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic repairviathe transabdominal preperitoneal procedure for bilateral lumbar hernia: Three cases report and review of literature

Huang

Long

Chen

et al. 2018

WJCC

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“…In order to prevent post-surgery chronic pain, there should be more consideration to protect the nerves (e.g., the ilioinguinal nerve, genitofemoral nerve, lateral femoral cutaneous nerve) which are found close to the superior lumbar triangle [3,18]. To date, most cases of LH were treated by the open technique since tension-free closure or repair of parietal surface defects is not achievable using the laparoscopic technique [3,8].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Fat Containing Lumbar Hernia: A Case Report and Literature Review

et al. 2019

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Patient: Female, 84 Final Diagnosis: Bilateral fat containing lumbar hernia Symptoms: Abdominal pain Medication: — Clinical Procedure: — Specialty: Surgery Objective: Rare disease Background: Lumbar hernias continue to be rare and challenging regarding optimal treatment protocols. While computed tomography scan is considered the best imaging modality for assessment, we think there is a role for ultrasound in establishing a diagnosis seeking proper management and avoiding complications. Case Report: We present the case of an 84-year-old Saudi female who was known to have multiple chronic illnesses with bilateral flank swellings that were diagnosed as bilateral noncomplicated lumbar hernias which was treated conservatively with no complications. Conclusions: Since the reported case is rarely encountered by surgeons, a low threshold to diagnosis is required. Finally, there is no consensus on management, and further studies to further investigate lumbar hernias are needed.

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“…Conservative management of lumbar hernias is not suggested because of 2 reasons: around 25% of these hernias are prone to incarceration and 10% to strangulation which may present with features of acute abdomen and need of emergency surgery. [ 8 ] Besides, these hernias tend to increase in size with time. Surgical repair of a large lumbar hernia is difficult.…”

Section: Discussionmentioning

confidence: 99%

Surgical approach towards Grynfelt hernia

Shadhu

Ramlagun²,

Chen³

et al. 2018

Medicine

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Due to the rarity of Grynfelt hernia, there is no standardized surgical technique.From April 2010 to September 2017, 12 cases of primary superior lumbar hernia (Grynfelt hernia) were identified through medical records reviewing and included in our study. Perioperative data, surgical outcomes, and long-term follow-up results were retrospectively analysed.Male/female ratio of patients was 1:1, with age 69.5 (62, 74.5) [median (25 percentile, 75 percentile)] years old. Right/left side ratio of lumbar hernia was 9/3. The in-hospital duration was 7 (5, 8) days. The surgical duration was 35 (30, 50) minutes. The defect size was 2.1 (1.5, 3) cm in diameter. The discharge of the patient was on 3 (2, 4) post-operative day (POD). The meshes used were: MK5816 (10), MK5810 (1), and UHS (1). There was only 1 case of postoperative complication where the patient was admitted in intensive care unit (ICU) due to hypoxemia. Morbidity, mortality, and recurrence cases were null.Our study indicates that open surgery with mesh implantation is a reliable way for the management of primary superior lumbar hernia.

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Lumbar hernia following percutaneous nephrolitotomy

Cited by 6 publications

References 9 publications

Laparoscopic repairviathe transabdominal preperitoneal procedure for bilateral lumbar hernia: Three cases report and review of literature

Laparoscopic repairviathe transabdominal preperitoneal procedure for bilateral lumbar hernia: Three cases report and review of literature

Bilateral Fat Containing Lumbar Hernia: A Case Report and Literature Review

Surgical approach towards Grynfelt hernia

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