Lumbar hernia: Clinical analysis of 11 cases

Abstract

The clinical symptoms and signs usually allow for easy diagnosis. Excision of the sac and high ligation, followed by repair using either surrounding tissue or prosthetic material, provided satisfactory results.

Hérnia de Grynfelt

“…In 1750 Ravaton did the correction of a strangulated lumbar hernia in a pregnant 8 . In the English literature, are described about 300 cases 1,[6][7][8][9][10]3,8,13 . The superior lumbar triangle is bounded by the lower border of the 12 th rib, para-spinal muscles and the internal oblique muscle, whose roof is formed by the latissimus dorsi and the floor by the transversus abdominis.…”

“…About two thirds are found in male 1,6,10,13 . The most common location is the top of lumbar triangle, probably reflecting the fragility of this area, where the botton is just the transversal fascia.…”

“…Most patients complain of discomfort or pain with different degrees of intensity in the lumbar region; others have no symptons 3,[6][7][8]10,13 . May also have nausea, vomiting and abdominal cramps, which leads to clinical suspicion of strangulation hernia.…”

“…Currently, the use of meshes is universally accepted, particularly when the defect is big 8 . It is rarely necessary to perform enterectomies 13 . Seroma formation is common as postoperative complication, present in 35 % of patients 8 .…”

“…It is an unusual defect, corresponding to 1.5 to 2% of all abdominal wall hernias, with few cases described in the literature médica 3,8,13 . The lumbar hernias are divided into upper (Grynfeltt) and lower (Petit).…”