Lumbar Herniation of Kidney following Iliac Crest Bone Harvest

Willcox, Michael J

doi:10.1155/2016/5365647

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…A small subgroup of patients has some atypical symptoms, such as a backache and intercostal neuralgia, due to the oppression of the inner contents of the lumbar hernia. Very few patients with lumbar hernias show specific symptoms, such as bowel obstruction, hydronephrosis and hydroureter, because the contents are relevant to the abdominal organ[ 32 - 34 ]. In our study, two patients presented with a semispherical bulge in the back, while one patient presented with unexplained abdominal pain.…”

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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“…A painless lumbar swelling is the most common complaint. Less commonly, patients will be presented with backache, intercostal neuralgia, bowel obstruction, hydronephrosis, and hydroureter [3,10,11]. Our patient presented with left upper abdominal pain.…”

Section: Discussionmentioning

confidence: 95%

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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“…Most patients suffer from pain which has an effect on sleep within 1 month after surgery, and even 13 to 20% of the patients experience chronic pain [ 2 , 3 ]. The most common complication is pain at the donor site after that less frequently complications including secondary fracture, superficial numbness, infection, abdominal hernia and gait abnormality [ 4 – 6 ]. In addition, harvesting a large graft from iliac crest bone leads to some problems such as depression of surgical area, poor cosmetic appearance, having influence on walking, recreation, household chores and so on [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of iliac crest defect after autogenous harvest with bone cement and screws reduces donor site pain

Zhang

Wei

Gong

et al. 2018

BMC Musculoskelet Disord

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BackgroundThe iliac crest is the most common autogenous bone graft donor site, although associated with postoperative pain, functional disability, cosmesis, morphology and surgical satisfaction. We assessed each aspect above by comparing iliac crest reconstruction with bone cement and screws following harvest with no reconstruction.MethodsWe evaluated patients who underwent large iliac crest harvesting, including ten patients who underwent iliac crest defect reconstruction with bone cement and cancellous screws (R group) and ten randomly matched patients without reconstruction (NR group) were evaluated prospectively in the same period. Local pain, cosmesis and other complications were assessed postoperatively at 1 week, 6 weeks, 3 months and 6 months.ResultsPain, cosmesis and satisfaction of patients significantly differed between the two groups. The R group exhibited less complications and lower pain visual analogue scores at postoperative 1 week (p < 0.001), 6 weeks (p < 0.001) and 3 months (p < 0.01) but not at 6 months, at which time patients reported almost no pain. One patient reported pain for more than 1 year in the NR group. The R group exhibited better cosmesis, morphology and satisfaction than the NR group. In the NR group, one patient suffered pain when sitting up and another when wearing a belt.ConclusionPostoperative pain can be reduced and cosmesis can be improved through reconstructing the iliac crest defects after autogenous harvesting with bone cement and cancellous screws. The technique is simple, safe and easy to implement.

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Lumbar Herniation of Kidney following Iliac Crest Bone Harvest

Cited by 3 publications

References 6 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

Reconstruction of iliac crest defect after autogenous harvest with bone cement and screws reduces donor site pain

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