Congenital Diaphragmatic Hernia

Thorek, Philip

doi:10.1001/archsurg.1948.01240010243013

Cited by 8 publications

(4 citation statements)

References 6 publications

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“…Due to the high recurrence rate of primary suturing [ 2 ], tension-free hernia repair using a surgical mesh has been preferred in recent years. In 1950, Thorek was the first to report a mesh repair of a superior lumbar hernia [ 3 ]. With the spread of minimally invasive surgery, the laparoscopic transabdominal preperitoneal approach for traumatic superior lumbar hernia was reported in 1996 [ 4 ], and the endoscopic retroperitoneal approach for incisional superior lumbar hernia was reported in 1999 [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic retroperitoneal repair of superior lumbar hernia (Grynfeltt hernia) using self-fixating mesh to prevent nerve injury: a case report

Mizuno,

Honma

2024

surg case rep

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Background The primary superior lumbar hernia, also called the Grynfeltt Hernia, is a rare entity; hence, a standard surgical repair method has not been established. It is important for this repair procedure not only to prevent recurrence by placing an adequate size of mesh but also to avoid nerve injury. The endoscopic retroperitoneal approach is considered a useful technique for this procedure, requiring no mobilization of the colon and providing good visibility of the surrounding nerves. A self-fixating mesh does not require a traumatic fixation, which is considered advantageous for nerve preservation. Case presentation A 72-year-old woman, complaining of left lumbar swelling, was diagnosed with a primary left superior lumbar hernia and underwent endoscopic retroperitoneal hernia repair. With the patient in the right lateral decubitus position, five small ports were inserted, and the retroperitoneal space was dissected. The 2.0 × 1.0-cm hernial orifice was found, and the 12th subcostal nerve above the hernial orifice and the iliohypogastric and the ilioinguinal nerves below the hernial orifice were identified. A 15 × 10-cm self-fixating mesh was placed in the retroperitoneal space without mesh tacking. The postoperative course was uneventful, and the patient was discharged on the first postoperative day. Two years after surgery, there was no sign of recurrence, and chronic pain and neuropathic symptoms were absent. Conclusions Endoscopic retroperitoneal repair of primary superior lumbar hernia using a self-fixating mesh seems to be useful for nerve preservation.

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Section: Discussionmentioning

confidence: 99%

Endoscopic retroperitoneal repair of superior lumbar hernia (Grynfeltt hernia) using self-fixating mesh to prevent nerve injury: a case report

Mizuno,

Honma

2024

surg case rep

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“…Closure is completed by approximating of the external oblique and latissimus dorsi followed by constructing of a gluteal fascia flap to cover the defect. Both laparoscopic and retroperitoneoscopic repair using prosthetic mesh has also been described [13][14][15][16]. Arca et al reviewed 7 laparoscopic lumbar hernia repairs, 5 of which were traumatic, performed at their institutions.…”

Section: Discussionmentioning

confidence: 99%

Repair of a Traumatic Lumbar Hernia With Biosynthetic Mesh: A Novel Approach and Review of the Literature

Shanker¹

2012

J Curr Surg

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Lumbar hernias are a rare type of abdominal hernia which occurs from a defect in the posterior-lateral abdominal wall. Lumbar hernias are commonly acquired through trauma, surgery, and infection. The most common etiology is a blunt abdominal trauma associated with crush injuries, or restrained victims of a motor vehicle collision. Different surgical techniques to repair these hernias have been described. We report on the use of a biosynthetic mesh as an adjunct to repairing a traumatic lumbar hernia, which has a higher likelihood of contamination or infection secondary to traumatic etiology. We also review the literature on this topic of lumbar hernia repair.

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“…The use of a musculoaponeurotic [ 38 ] or de-epithelialized dermal [ 39 ] flap to cover the defect was described in 1907 but can lead to flap ischemia, hematoma, seroma, and high recurrence rates [ 38 , 40 ]. Open exploration with primary closure of the defect, reconstruction of the resilient abdominal wall, and reinforcement by placement of a mesh was introduced in 1950 [ 41 ] and has proven to be an effective strategy [ 18 ]. However, an open surgical approach of the posterior abdominal wall can be demanding due to difficulties in optimally visualizing the external edges of the fascial defect, lack of sufficient resilient abdominal wall to perform sufficient tension-free primary reconstruction [ 38 , 40 ], and difficulty in positioning and fixation of an adequately sized light-weighted mesh offering sufficient overlap, preferably in the extraperitoneal space.…”

Section: Introductionmentioning

confidence: 99%

“…The use of a musculoaponeurotic [38] or deepithelialized dermal [39] flap to cover the defect was described in 1907 but can lead to flap ischemia, hematoma, seroma, and high recurrence rates [38,40]. Open exploration with primary closure of the defect, reconstruction of the resilient abdominal wall, and reinforcement by placement of a mesh was introduced in 1950 [41] and has proven to be an effective strategy FIGURE 5 | The hernia port rarely exceeds 4 cm and can usually be closed well, primarily using a slowly resorbable barbed suture. Care must be taken not to damage the nerves in close proximity to the hernia port.…”

Section: Introductionmentioning

confidence: 99%

Primary Lumbar Hernia, Review and Proposals for a Standardized Treatment

Heemskerk,

Leijtens,

van Steensel

2023

J. Abdom. Wall Surg.

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A lumbar abdominal wall hernia is a protrusion of intraperitoneal or extraperitoneal contents through a weakness in the posterior abdominal wall, usually through the superior or inferior lumbar triangle. Due to its rare occurrence, adequate knowledge of anatomy and methods for optimal diagnosis and treatment might be lacking with many surgeons. We believe a clear understanding of anatomy, a narrative review of the literature and a pragmatic proposal for a step-by-step approach for treatment will be helpful for physicians and surgeons confronted with this condition. We describe the anatomy of this condition and discuss the scarce literature on this topic concerning optimal diagnosis and treatment. Thereafter, we propose a step-by-step approach for a surgical technique supported by intraoperative images to treat this condition safely and prevent potential pitfalls. We believe this approach offers a technically easy way to perform effective reinforcement of the lumbar abdominal wall, offering a low recurrence rate and preventing important complications. After meticulously reading this manuscript and carefully following the suggested approach, any surgeon that is reasonably proficient in minimally invasive abdominal wall surgery (though likely not in lumbar hernia surgery), should be able to treat this condition safely and effectively. This manuscript cannot replace adequate training by an expert surgeon. However, we believe this condition occurs so infrequently that there is likely to be a lack of real experts. This manuscript could help guide the surgeon in understanding anatomy and performing better and safer surgery.

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Congenital Diaphragmatic Hernia

Cited by 8 publications

References 6 publications

Endoscopic retroperitoneal repair of superior lumbar hernia (Grynfeltt hernia) using self-fixating mesh to prevent nerve injury: a case report

Endoscopic retroperitoneal repair of superior lumbar hernia (Grynfeltt hernia) using self-fixating mesh to prevent nerve injury: a case report

Repair of a Traumatic Lumbar Hernia With Biosynthetic Mesh: A Novel Approach and Review of the Literature

Primary Lumbar Hernia, Review and Proposals for a Standardized Treatment

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