Hernia of the Kidney

Kretschmer, Herman L.

doi:10.1016/s0022-5347(17)68576-8

Cited by 19 publications

(8 citation statements)

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“…Incisional acquired lumbar hernias were described by Kelton in 1939, with H.L. Kretchmer 5 publishing the first study of 11 cases following renal surgery in 1951. The operations most frequently associated with this type are nephrectomy, abdominal aorta aneurysm surgery, resection of abdominal wall tumors, iliac bone donation, and latissimus dorsi flaps in plastic surgery.…”

Section: Incisional Acquired Lumbar Herniasmentioning

confidence: 99%

“…The operations most frequently associated with this type are nephrectomy, abdominal aorta aneurysm surgery, resection of abdominal wall tumors, iliac bone donation, and latissimus dorsi flaps in plastic surgery. [5][6][7][8][9] The prevalence of lumbar hernia after lumbotomy is approximately 20% to 30%. [4][5][6] Its pathogenic mechanism may be explained by dissection of the subcostal nerve, which involves muscular atrophy-a gradual thinning of the muscle and fascia, which acts as a predisposing factor to hernia appearance.…”

Section: Incisional Acquired Lumbar Herniasmentioning

confidence: 99%

“…[5][6][7][8][9] The prevalence of lumbar hernia after lumbotomy is approximately 20% to 30%. [4][5][6] Its pathogenic mechanism may be explained by dissection of the subcostal nerve, which involves muscular atrophy-a gradual thinning of the muscle and fascia, which acts as a predisposing factor to hernia appearance. [9][10][11]…”

Section: Incisional Acquired Lumbar Herniasmentioning

confidence: 99%

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Controversies in the Current Management of Lumbar Hernias

Moreno-Egea¹

2007

Arch Surg

195

218

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Background: Abdominal wall surgery has changed dramatically in recent years. The current management of lumbar hernias should reflect the development of modern imaging techniques and new forms of noninvasive treatment. Objective: To review and update knowledge on lumbar hernias. Data Sources: Literature review using MEDLINE with the key words "lumbar hernia" for the years 1950 through 2004. For an analysis prior to this date (1750-1950), we used cases reported by Thorek. Our own study of 28 patients was also included. Study Selection: All articles reporting clinical cases on lumbar hernia. Data Extraction: Two reviewers analyzed the epidemiological, clinical, and treatment data of the articles. Data Synthesis: One hundred thirty-five clinical case articles and 8 studies with more than 5 patients, together with our personal experience of 28 cases, were ana

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Section: Incisional Acquired Lumbar Herniasmentioning

confidence: 99%

Section: Incisional Acquired Lumbar Herniasmentioning

confidence: 99%

Section: Incisional Acquired Lumbar Herniasmentioning

confidence: 99%

See 1 more Smart Citation

Controversies in the Current Management of Lumbar Hernias

Moreno-Egea¹

2007

Arch Surg

195

218

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“…Lumbar hernias may contain intraperitoneal organs such as bowel [11] or be completely extraperitoneal containing retroperitoneal fat and kidneys [12]; less commonly, the ovaries, spleen, or appendix are found inside [13, 14]. Incisional lumbar hernias [15–17] are most often associated with nephrectomy, abdominal wall tumour resection, aortic aneurysm repair, and iliac bone graft harvest [8, 18–22]. Damage to the subcostal nerve and the subsequent muscular atrophy with progressive thinning of muscle and fascia may be an important predisposing factor for the development of incisional posterior hernias [13, 23, 24].…”

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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“…He reported 11 cases developing lumbar hernias after renal surgery. 6 The condition may be related to injuries of the subcostal nerve, with resultant muscular atrophy on dissection. 7 Lumbar incisional hernia is the subtype of the secondary lumbar hernia, especially well-known after iatrogenic incisions.…”

Section: Discussionmentioning

confidence: 99%

Repair of lumbar hernia originating from autogenous iliac bone graft with bilayer mesh

Hsu

et al. 2012

Formosan Journal of Surgery

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KEYWORDS lumbar hernias; lumbar incisional hernia; surgical repair Summary A 60-year-old female patient, who had previously undergone an iliac bone graft harvest, was diagnosed with the aid of an abdominal CT scan to have an inferior lumbar hernia, complicated with bowel incarceration. Reduction of the protruding sac was performed. The weak point of the inferior lumbar hernia was reinforced by hernioplasty with a bilayer mesh. No evidence of recurrence was noted 16 months after surgery. The iliac bone graft is often adopted for various purposes by orthopedists and neurosurgeons, which may contribute to an unusual lumbar hernia. The purpose of this communication is to emphasize the possibility of complications following such surgical procedures and to provide useful information, including radiographic images and photographs of this extraordinary type of hernia. Hernioplasty with a bilayer mesh is safe, effective and convenient, in spite of a variety of commercially available meshes.

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Hernia of the Kidney

Cited by 19 publications

References 0 publications

Controversies in the Current Management of Lumbar Hernias

Controversies in the Current Management of Lumbar Hernias

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

Repair of lumbar hernia originating from autogenous iliac bone graft with bilayer mesh

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