Clinical, surgical characteristics and long-term outcomes of lumbar hernia

Abstract

Background/Aim Lumbar hernia is caused by a defect in the abdominal wall. Due to its rarity, there is no established consensus on optimal treatment for lumbar hernia yet. Thus, we here investigated the clinical, surgical characteristics and outcomes of lumbar hernia by collecting 28 such patients from our hospital. Methods Patients diagnosed with lumbar hernia from our institution between April 2011 and August 2020 were retrospectively collected in this study. Demographics, clinical characteristics and surgical information were recorded. Results A consecutive series of 28 patients with lumbar hernia were retrospectively collected, including 13 males (46%) and 15 females (54%). The ages of the patients ranged from 5 to 79 years (median: 55 years), with a mean age of 55.6 ± 14.9 years. A total of 7 cases had a history of previous lumbar trauma or surgery. There were 11 (39%), 15 (54%) and 2 (7.1%) cases had right, left and bilateral lumbar hernia, respectively. Superior and inferior lumbar hernia were found in 25 (89%) and 3 (11%) patients. General anesthesia was adopted in 16 cases (group A), whereas 12 patients received local anesthesia (group B). Patients in the group B had a shorter hospital stay than that of the group A (3.5 ± 1.3 days vs. 7.1 ± 3.2 days, p = 0.001), as well as total hospitalization expenses between the two groups (2989 ± 1269 dollars vs. 1299 ± 229 dollars, p < 0.001). With a median follow-up duration of 45.9 months (range: 1–113 months), only 1 (3%) lumbar hernias recurred for the entire cohort. Conclusions Lumbar hernia is a relatively rare entity, and inferior lumbar hernia is rarer. It is feasible to repair lumbar hernia under local anesthesia.

Retrospective analysis of 16 cases of lumbar hernia

“…We also think most people have stronger muscles on the right side of their bodies than on the left. Therefore, lumbar hernias are more often found on the left side and in the superior lumbar triangle [ 16 , 17 ]. In the present study, we also found that the majority of lumbar hernias were located in the left and superior triangles.…”

“…However, it also has disadvantages, including potential damage to the abdominal organs, complex surgery, a long learning curve, and only a few experienced large hernia centres, which limits the technique's popularity. Open repair is currently the most commonly used technique for treating lumbar hernias [ 16 ].…”

Acute Repair of Traumatic Lumbar Hernia with Fascia Lata Autograft

“…Congenital lumbar hernias occur in infancy and may be associated with congenital disorders, such as lumbocostovertebral syndrome [6][7][8][9] . Acquired lumbar hernias can be further divided into primary hernias, which occur spontaneously due to increased intra-abdominal pressure or aging, and secondary hernias, which occur after surgery or trauma 10) . Our case was classified as a secondary lumbar hernia, which accounts for approximately 25% of all lumbar hernias 5,11) .…”

Spontaneous Lumbar Hernia: A Case Report

“…In addition, these hernias if left untreated, tend to increase in size with time (5). The repair can be done via an open or laparoscopic approach, depending on the defect size, expertise, and availability of resources with both local and general anaesthesia utilized (6). The laparoscopic can either be extraperitoneal or transabdominal.…”