Bilateral superior lumbar hernias: a case report and review of literature

Radhakrishna, Veerabhadra; Tanga, Sharad M

doi:10.18203/2349-2902.isj20171163

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Nevertheless, there is no relevant standard in the detailed procedures of laparoscopic lumbar hernia surgery, nor in the type and fixation of meshes, due to the limited number of laparoscopic surgeries that have been performed. All of the currently reported bilateral lumbar hernias were repaired by open surgery[ 10 , 11 ]. As with inguinal hernias, the laparoscopic technique in bilateral lumbar hernia repair is expected to be superior compared with open surgery, as long as the technique is available.…”

Section: Introductionmentioning

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: Introductionmentioning

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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“…Signs and symptoms of intestinal obstruction might also be present if a bowel loop has been incarcerated 10. The patient might complain about a backache, nausea, feeling of weight, or dragging sensation in the lumbar region 11. Sometimes patients might be presented with nonspecific abdominal pain or back pain which could represent sciatica 15.…”

Section: Discussionmentioning

confidence: 99%

<p>Primary superior lumbar hernia፡ a rare cause of lumbar swelling</p>

Mekonnen¹,

Gonfa²

2019

IMCRJ

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Background Superior lumbar hernia is a rare posterolateral abdominal wall defect and herniation of abdominal contents through the superior lumbar triangle. A lumbar hernia is an unusual defect and only 300 cases of primary lumbar hernias have been reported since the first case report in 1731. To date, most clinicians are usually unfamiliar with the presentation of lumbar hernias, and the diagnosis is often done in a wrong way. Case report A 55-year-old female patient presented with complaints of right flank pain and swelling on the right lumbar region. On abdominal examination, there was round protruding swelling immediately beneath the 12 th rib of the right upper flank area. The swelling was palpable and bowel sound was heard over it. The swelling was easily reducible and protruded when the patient was coughing or straining. The opposite side of the lumbar region was normal, and chest examination was clear and normal. The hematological and urine analysis laboratory findings were normal. Discussion The ultrasound finding revealed the bowel contents within the hernial sac. With the diagnosis of primary acquired superior lumbar hernia, the patient underwent open surgery. The defect was reduced back and repaired using a retro-muscular or sublay prolene mesh (15 cm by 7.5 cm). The patient was discharged at post-operative day four and followed-up for four months. Conclusion In conclusion, the diagnosis of lumbar hernias should be considered in all patients presented with complaints of flank pain and swelling in the flank area. In the absence of obvious swelling in the flank region, ultrasound investigation might not establish the diagnosis of lumbar hernias. Hence, ultrasound would be the option to confirm the diagnosis when the swelling is palpable.

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Congenital Lumbar Hernia: A Case Series Study

Ameen¹,

Kamil²

2018

JSMC

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Background Congenital lumbar hernia is a rare anomaly with only 45 cases reported in the English-language literature, usually presents since birth either isolated or, less commonly, in association with other congenital malformations. Objectives This study done to record the prevalence rate of this very rare congenital anomaly at Sulaimani province, with reviewing the important clinical and anatomical aspects, along with the current surgical management of this malformation. Methods A case series study on just four cases presented over period of 10 years (May 2007 to June 2017), data were collected regarding the age at presentation, sex, associated anomalies, surgical management, and outcome, with measuring the prevalence rate. Results During the study period only four patients were recorded to have congenital lumber hernia. Male to female ratio was 1:1. All of them presented during infancy, with unilateral, and right sided CLH. One female presented with recurrence after a previous surgical correction. Lumbocostvertiberal syndrome was an associated anomaly in a female patient; bilateral undescended testes in a male patient. Three cases were managed with open surgical repair; without post operative morbidity and mortality. The recurrent case’s father declined further surgery. Conclusion CLH is a rare condition. The diagnosis is usually clinical. Due to the high frequency of associated congenital anomalies, a proper physical examination supplemented by plain X-ray and US study is important in every case. The treatment is surgical repair as soon as possible. There is a high chance of recurrence if big defect not corrected with meshplasty.

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Bilateral superior lumbar hernias: a case report and review of literature

Cited by 3 publications

References 5 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

<p>Primary superior lumbar hernia፡ a rare cause of lumbar swelling</p>

Congenital Lumbar Hernia: A Case Series Study

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