Inferior lumbar triangle hernia with incarceration

Pang, Ran R.; Makowski, A

doi:10.1016/j.ajem.2019.04.011

Cited by 8 publications

(3 citation statements)

References 5 publications

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“…Лумбалната херния може да бъде разпозната като липом на гърба, абсцес, фибром или бъбречен тумор, което допълнително затруднява лечението. Съществува сериозен риск от заклещване (25%), исхемия и перфорация на съдържимото (8%) поради което единственото дефинитивно лечение на лумбалната херния е оперативното, извършено в ранен етап на заболяването [5,7]. Индивидуалния подход при всеки пациент е ключов за успеха на оперативното лечение.…”

Section: въведениеunclassified

Minimally invasive transabdominal preperitoneal repair of incisional lumbar hernia

Kyosev¹,

Ivanov²,

Mutafchyiski³

et al. 2022

JEMIS

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Introduction: A lumbar hernia is a rare type of abdominal wall defect by anatomic location. It can be primary in origin over the lumbar triangles that can be categorized into superior (Grynfeltt) and inferior (Petit), or secondary as a result of trauma or surgery. Lumbar abdominal wall hernia in which clinical presentations may vary from an asymptomatic bulge in the lumbar area to a symptomatic lumbar mass with back pain. Anatomical location makes challenging diagnosis and repair. Individual approach for every patient is a key for successful surgical treatment. In this paper, we present a minimally invasive approach to the treatment of incisional lumbar hernia. Case presentation: A 75-year-old patient from Pazardzhik town, admitted to our unit at the Military Medical Academy for swelling in the left lumbar region at the site of an old surgical scar from a previous nephrectomy (2020) caused by nephropathy. The swelling has a one-year history and causes periodic local pain and discomfort during physical exercise. CT-scan show us incisional left site lumbar hernia, 10cm defect diameter with descending colon and spleen as a hernia contents. We conducted preoperative preparation and consultations with an anesthesiologist, cardiologist and nephrologist. The patient underwent minimally invasive transabdominal preperitoneal lumbar hernia repair with a prosthesis. The postoperative period went smoothly and the patient was discharged on the fourth day. Three months later, he feels well and there is no evidence of recurrence. Conclusions: Preoperative CT-scan of the abdomen with contrast in lumbar hernia patients is a mandatory requirement for proper diagnosis and selection of an appropriate surgical approach. Minimally invasive transabdominal preperitoneal incisional lumbar hernia repair provides optimal view in operative field, minimal tissue trauma, fast recovery and good cosmetic results. This is a new method, but a feasible, useful and safe alternative to conventional surgical techniques for incisional lumbar hernia repair. Keywords: Incisional lumbar hernia, Preperitoneal repair, Hernia with rare location

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Section: въведениеunclassified

Minimally invasive transabdominal preperitoneal repair of incisional lumbar hernia

Kyosev¹,

Ivanov²,

Mutafchyiski³

et al. 2022

JEMIS

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show abstract

“…Low suspicion may lead to delayed diagnosis or misdiagnosis of other soft tissue lesions, such as subcutaneous lipoma, retroperitoneal tumor, abscesses, fibromas or perirenal abscess [ 5 , 6 ]. Normally, surgical treatment of lumbar hernias is essential because of risks of incarceration, strangulation and perforation [ 7 – 9 ]. However, surgical repair can be often difficult considering the location of the hernia and the surrounding bony structures [ 1 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

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

Shen

Zhang

et al. 2021

BMC Surg

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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.

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“…Low suspicion may lead to delayed diagnosis or misdiagnosis of other soft tissue lesions, such as subcutaneous lipoma, retroperitoneal tumor, abscesses, bromas or perirenal abscess [5,6]. Surgical treatment of lumbar hernias is essential because of risks of incarceration, strangulation and perforation [7][8][9], but surgical repair can be di cult considering the location of the hernia and the surrounding bony structures [1,10].…”

Section: Introductionmentioning

confidence: 99%

Clinical, Surgical Characteristics and Long-Term Outcomes of Lumbar Hernia.

Shen

Zhang

et al. 2020

Preprint

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Background/AimLumbar hernia is extremely rare which resulting from a defect in the abdominal wall. Due to its rarity, there is no established optimal treatment available for lumbar hernia yet. Thus, we here investigated the clinical, surgical characteristics and outcomes of lumbar hernia by collecting 28 such patients in our hospital. MethodsPatients 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. ResultsA consecutive series of 28 patients with lumbar hernia were retrospectively collected, including 13 males (46.4%) and 15 females (53.6%). 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 (39.3%), 15 (53.6%) and 2 (7.1%) cases had right, left and bilateral lumbar hernia, respectively. Superior and inferior lumbar hernia were found in 25 (89.3%) and 3 (10.7%) patients. General anesthesia was applied 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 (8309.3±1467.1 CNY vs. 19117.3±8116.1 CNY, p<0.001). ConclusionsLumbar hernia is a relatively rare entity, and inferior lumbar hernia is rarer. It is feasible to repair lumbar hernia under local anesthesia, and it may be more suitable than general anesthesia in some selected cases.

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Inferior lumbar triangle hernia with incarceration

Cited by 8 publications

References 5 publications

Minimally invasive transabdominal preperitoneal repair of incisional lumbar hernia

Minimally invasive transabdominal preperitoneal repair of incisional lumbar hernia

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

Clinical, Surgical Characteristics and Long-Term Outcomes of Lumbar Hernia.

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