Open Approach to Primary Lumbar Hernia Repair: A Lucid Option

Vagholkar, Ketan; Vagholkar, Suvarna

doi:10.1155/2017/5839491

Cited by 5 publications

(8 citation statements)

References 10 publications

(15 reference statements)

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“…Surgery was done in 4 cases, of which opened hernioplasty was done in three and was not mentioned in one. In a study done by Vagholkar et al, an open approach was implemented [23], similar to the method done in our study. They concluded that both laparoscopic and open approaches could be done, although open mesh repair is an easier, safer, and more effective method of treating this uncommon surgical illness [23].…”

Section: Discussionmentioning

confidence: 99%

Renal pelvis and ureteropelvic junction incarceration in a Grynfeltt-Lesshaft hernia: a case report and review of the literature

2020

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Background Grynfeltt–Lesshaft hernia is a kind of lumbar abdominal wall hernia in which clinical presentations may vary from an asymptomatic bulge in the lumbar area to a symptomatic lumbar mass with back pain. It has been accepted to be a rare entity, and incarceration of the kidney through this hernia is shown to be very rare, and very few previous cases have been reported in this regard. We present a case of renal pelvic and ureteropelvic junction incarceration in a Grynfeltt-Lesshaft hernia and provide an overview of the existing literature on it. Case presentation A 76-year-old lady presented to the outpatient clinic with the chief complaint of right flank pain and swelling. Computed tomography (CT) scan of the abdomen was revealed a large herniated sac (60*30 mm) in the upper lumbar triangle with protrusion of retroperitoneal and omental fat, right renal pelvis, ureteropelvic junction and proximal ureter with consecutive hydronephrosis. Herniated retroperitoneal and omental fat was reduced, and closure of the abdominal wall defect was done using retro-muscular Mesh and was fixed to the fascia. The patient was discharged 24 h after the surgery without any complications. Conclusion Kidney herniation through the lumbar triangle is extremely rare, and the diagnosis requires careful clinical evaluation. CT scan is the modality of choice for the assessment. Management through surgery should be done in symptomatic patients.

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Section: Discussionmentioning

confidence: 99%

Renal pelvis and ureteropelvic junction incarceration in a Grynfeltt-Lesshaft hernia: a case report and review of the literature

2020

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“…While increased intra-abdominal pressure is considered a high-risk factor for all hernias, our patient reported heavy object lifting and had chronic obstructive pulmonary disease. A lumbar hernia may contain different intraperitoneal organs or extra peritoneal fat [3,7,9].…”

Section: Discussionmentioning

confidence: 99%

“…The IU (Petit’s) triangle is bordered medially by the latissimus dorsi muscle, laterally by the external oblique, and inferiorly by the iliac crest. The lumbodorsal fascia forms the floor of IU as it extends from the aponeuroses related to the transversus abdominis and the internal oblique (Figure 4) [2,7].…”

Section: Discussionmentioning

confidence: 99%

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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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“…An inferior lumbar hernia is a protrusion of either extraperitoneal fat or intraperitoneal contents through the inferior lumbar triangle. 2 The inferior lumbar triangle is anatomically defined by the iliac crest inferiorly, the external oblique muscle anteriorly, and the latissimus dorsi muscle posteriorly.…”

Section: Introductionmentioning

confidence: 99%

A case of Petit's hernia presenting as bilateral lipomata of the back

Ballane¹,

Berkowitz²,

Galdamez³

et al. 2022

MSRJ

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We aim to add to the literature regarding Petit (inferior lumbar) hernias. The presence and location of lower back masses may have a deeper origin than initially apparent. We may urge the surgical community to keep in mind the differential diagnosis of lumbar hernia, although rare, when evaluating subcutaneous masses and lipomata in this region. Simple excision may address the mass but not the cause and will lead to early recurrence of the presenting problem.

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Open Approach to Primary Lumbar Hernia Repair: A Lucid Option

Cited by 5 publications

References 10 publications

Renal pelvis and ureteropelvic junction incarceration in a Grynfeltt-Lesshaft hernia: a case report and review of the literature

Renal pelvis and ureteropelvic junction incarceration in a Grynfeltt-Lesshaft hernia: a case report and review of the literature

Bilateral Fat Containing Lumbar Hernia: A Case Report and Literature Review

A case of Petit's hernia presenting as bilateral lipomata of the back

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