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

Shanker,

doi:10.4021/jcs47w

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…1 CT scan or MRI may be performed to confirm the diagnosis. 4 Both can show the defect in the musculofascial layer, the content of the hernia and help us to plan the repair. They can also rule out the other differential diagnoses of lumbar hernia.…”

Section: Discussionmentioning

confidence: 99%

A case report of lumbar hernia

Sachar¹,

Rao²,

Yadav³

et al. 2022

Int Surg J

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Lumbar hernia is one of the rare cases that most surgeons are not exposed to. Hence the diagnosis can be easily missed. This leads to delay in the treatment causing increased morbidity. We report a case of lumbar hernia in a middle-aged man. Clinical and MRI findings were correlated to reach the diagnosis. We also highlighted the types, the process of diagnosis and the surgical repair of lumbar hernias.

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Section: Discussionmentioning

confidence: 99%

A case report of lumbar hernia

Sachar¹,

Rao²,

Yadav³

et al. 2022

Int Surg J

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Lumbar hernia is one of the rare cases that most surgeons are not exposed to. Hence the diagnosis can be easily missed. This leads to delay in the treatment causing increased morbidity. We report a case of lumbar hernia in a middle-aged man. Clinical and MRI findings were correlated to reach the diagnosis. We also highlighted the types, the process of diagnosis and the surgical repair of lumbar hernias.

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“…Due to their relatively infrequent occurrence, there is no established definitive technique for the surgical repair of lumbar hernias [10]. Anterior repair was considered appropriate for managing large or recurrent defects, with the use of a double mesh or flaps from the aponeurosis of the gluteus maximus muscle [27, 28]. Laparoscopic repair has recently been reported to be effective with transperitoneal and preperitoneal approach both being feasible [29–35].…”

Section: Discussionmentioning

confidence: 99%

Incarcerated Lumbar Hernia Complicated by Retroperitoneal Pseudoaneurysm 50 Years after Resection and Radiation Therapy of a Sarcoma

Onafowokan

Bandyopadhyay

Johnson

et al. 2019

Case Reports in Surgery

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Background. Lumbar hernias are rare abdominal hernias. Surgery is the only treatment option but remains challenging. Posterior incisional hernias are even rarer especially with incarceration of intra-abdominal contents. Case Presentation. A 68-year old female presented with a 3-day history of worsening acute abdominal pain and distension, with multiple episodes of emesis. A CT scan indicated a large incarcerated posterolateral abdominal hernia. The patient had a history of resection of a sarcoma on her back as a child and also received chemotherapy and radiation. During emergency laparoscopy, a hemorrhagic small bowel segment incarcerated in the hernia was reduced and resected, and the distended small bowel was decompressed. An elective hernia repair was scheduled. After temporary clinical improvement, the patient again developed abdominal pain, distention, and emesis. During emergency laparotomy, a large hematoma in the right flank was found and partially evacuated. The right colon was mobilized out of the hernia and the duodenum was kocherized. A 20×20 cm BIO-A mesh was placed on top of the Gerota fascia and cranially tucked under liver segment VI. Anteriorly, the mesh was fixated with absorbable tacks. The duodenum and colon were placed into the mesh pocket. A postoperative CT scan identified a 2 cm pseudoaneurysm of a side branch of a lumbar artery, and the bleeding source was embolized. The postoperative course was complicated by Clostridium difficile-associated colitis, but ultimately, the patient recovered fully. At 6-month follow-up, there was no evidence for a recurrent hernia. Discussion. There is a paucity of literature concerning lumbar incisional hernias. Repair with bioabsorbable mesh seems feasible, but longer follow-up is necessary as the mesh was placed in an unusual fashion due to the retroperitoneal hematoma. The exact cause of the hemorrhage is unclear and may have been caused during the initial incarceration, during surgery, or may be a late complication of her previous radiation.

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“…CT scan or MRI may be performed to confirm the diagnosis 4. Both can show the defect in the musculofascial layer, the content of the hernia and help us to plan the repair.…”

Section: Discussionmentioning

confidence: 99%

Lumbar hernia: a diagnostic dilemma

et al. 2014

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Lumbar hernia is one of the rare cases that most surgeons are not exposed to. Hence the diagnosis can be easily missed. This leads to delay in the treatment causing increased morbidity. We report a case of lumbar hernia in a middle-aged woman. It was misdiagnosed as lipoma by another surgeon. It was a case of primary acquired lumbar hernia in the superior lumbar triangle. Clinical and MRI findings were correlated to reach the diagnosis. We also highlight the types, the process of diagnosis and the surgical repair of lumbar hernias. We wish to alert our fellow surgeons to keep the differential diagnosis of the lumbar hernia in mind before diagnosing any lumbar swelling as lipoma.

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

Cited by 3 publications

References 14 publications

A case report of lumbar hernia

A case report of lumbar hernia

Incarcerated Lumbar Hernia Complicated by Retroperitoneal Pseudoaneurysm 50 Years after Resection and Radiation Therapy of a Sarcoma

Lumbar hernia: a diagnostic dilemma

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