An Operation for Incisional Lumbar Hernia

Bolkier, M; Moskovitz, Boaz; Ginesin, Y; Levin, Daniel

doi:10.1159/000471660

Cited by 34 publications

(24 citation statements)

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“…Such a technique provides an excellent anatomic view, thus avoiding injury to structures in proximity to the hernia during repair; eventually the well-known advantages of such approach result.Hernias in the lumbar region are relatively rare; they vary in etiology, exact anatomic location, and method of surgical repair [1][2][3][4][5][6][7][8][9].Numerous ''open'' procedures for lumbar hernia repair have been suggested, depending on the size and etiology of the abdominal wall defect [2,4,5,7, 9].We present a case of acquired superior triangle lumbar hernia in a morbidly obese woman, which, for the first time, was repaired through the laparoscopic approach. …”

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confidence: 99%

Laparoscopic management of lumbar hernia

1997

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confidence: 99%

Laparoscopic management of lumbar hernia

1997

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“…There is no risk at all for muscular bulges since the defect is the result of denervation atrophy and attenuation of the muscular layer without gap. Thus, the main reasons for parietal repair are local discomfort and pain as well as cosmesis [1,4].…”

Section: Resultsmentioning

confidence: 99%

“…Simple plication of the fascia [1] or more fre quently use of nonabsorbable meshes are suitable for small hernias. However, no satisfactory procedure has been described for large defects [3,4],…”

Section: Resultsmentioning

confidence: 99%

“…First, control of the renal pedicle and the possibility of extension through the thorax or the abdomen are the main advantages. Postoperative wound complications are rarely reported; however, incisional lumbar hernias and muscular bulges may occur [1][2][3]. Use of nonabsorbable synthetic materials such as polyester or polytetrafluoroethylene meshes are useful for the repair of small hernias though large hernias and bulges still remain a challenge to the surgeon [4], The use of a running strip of autogenous skin graft has been developed with success for large and recurrent inci…”

Section: Introductionmentioning

confidence: 99%

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Autogenous Skin Graft in the Treatment of Large Incisional Lumbar Hernias and Bulges

Staerman

Staerman²,

Guiraud³

et al. 1997

Eur Urol

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“…(2) The use of rotational flaps or onlay fascial flaps [3,17,19] requires extensive dissection and bears the risk to create flap ischaemia that leads to repair failure. (3) The use of a synthetic mesh through the anterior approach.…”

Section: Discussionmentioning

confidence: 99%

Primary Lumbar Hernia Repair: The Open Approach

Cavallaro

Sadighi²,

Miceli³

et al. 2007

Eur Surg Res

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Background: Lumbar hernias arise through posterolateral abdominal wall defects, named inferior triangle (Petit) and superior triangle (Grynfelt). Most of the lumbar hernias are secondary to trauma or previous surgery, while primary lumbar hernias are rare. There are two possible surgical approaches: the anterior approach with lumbar incision and the laparoscopic (transabdominal or totally extraperitoneal) approach. Methods: We present a series of nine surgical procedures for primary lumbar hernia in 7 adult patients (2 affected by bilateral hernias). Seven were Grynfelt hernias, and two were Petit hernias. All surgical repairs were performed using synthetic mesh placed in the extraperitoneal space, below the muscular layers, using a tension-free technique. Results: There was no surgical complication, except for 1 case with a subcutaneous haematoma. The mean hospital stay was 2.3 days. All patients returned to normal daily activities within 15 days after surgery. After a median follow-up period of 25 months, there was no case of recurrence or postsurgical sequelae, such as pain or muscular weakness. Conclusions: Primary lumbar hernias are rare congenital defects of the abdominal wall. Repair of these rare hernias can be successfully performed via the anterior approach with the use of synthetic mesh – this method of repair is easy, safe, and effective.

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An Operation for Incisional Lumbar Hernia

Cited by 34 publications

References 0 publications

Laparoscopic management of lumbar hernia

Laparoscopic management of lumbar hernia

Autogenous Skin Graft in the Treatment of Large Incisional Lumbar Hernias and Bulges

Primary Lumbar Hernia Repair: The Open Approach

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