Primary Grynfeltt’s Hernia

Belekar, Dnyanesh M.; Dewoolkar, V. V.; Desai, Amit A.; Butala, Ushma K.

doi:10.1007/s12262-013-0924-2

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…Retroperitoneal hernias are exceedingly rare, posterolateral, parietal wall defect in the lumbar region containing retroperitoneal fat or viscera [10]. Retroperitoneal hernia are included in the group of lumbar hernias, with less than 400 cases reported in the literature and account for 2% of all abdominal wall hernias [11,12]. They can be classified anatomically into superior or inferior lumbar hernias based on two well-defined areas of weakness.…”

Section: Journal Of Surgical Case Reports and Imagesmentioning

confidence: 99%

An Extremely Rare Case Report of a Retroperitoneal Hernia Following Spinal Surgery

Cañas¹

2022

JSCRI

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Introduction: Retroperitoneal hernias are extremely rare lumbar wall defects. Secondary hernias can occur after previous flank surgeries, infection or trauma. There is a paucity of literature regarding lumbar incisional hernias, most of them related to lateral approaches to the spine. Research Question: The objective of this article is to report a rare case of a retroperitoneal hernia following spinal surgery. Material and Methods: We review a rare presentation of a symptomatic acquired retroperitoneal hernia following several posterior lumbar spine approaches. An extensive literature review regarding retroperitoneal hernia and its relation to spinal surgery was performed. Results: A successful hernia repair suturing the transversalis fascia to the middle layer of the thoracolumbar fascia using a biological mesh was performed, with resolution of the hernia symptoms. Discussion and Conclusion: Although retroperitoneal hernias are extremely rare, we must emphasize the importance of an adequate surgical exposure in order to preserve the retroperitoneal and thoracolumbar fasciae as biological barriers during surgical approaches to the spine.

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Section: Journal Of Surgical Case Reports and Imagesmentioning

confidence: 99%

An Extremely Rare Case Report of a Retroperitoneal Hernia Following Spinal Surgery

Cañas¹

2022

JSCRI

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“…Lumbar hernias are a very rare abdominal wall defect [ 1 ]. Fewer than 400 cases have been reported in the literature and account for 2% of all abdominal wall hernias [ 2 , 3 ]. Lumbar hernias can be categorized by location and etiology into the Grynfelt-Lesshaft and Petit hernias.…”

Section: Introductionmentioning

confidence: 99%

Bilateral Lumbar Hernias Following Spine Surgery: A Case Report and Laparoscopic Transabdominal Repair

Rafols

Bergholz

Andreoni

et al. 2020

Case Reports in Surgery

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Lumbar hernias are rare abdominal wall defects. Fewer than 400 cases have been reported in the literature and account for 2% of all abdominal wall hernias. Lumbar hernias are divided into Grynfelt-Lesshaft or Petit hernias. The former are hernia defects through the superior lumbar triangle, while the latter are defects of the inferior lumbar triangle. Primary lumbar hernias are further subdivided into congenital or acquired hernias and can further be classified as either primary or secondary. Secondary hernias occur after previous flank surgeries, iatrogenic muscular disruption, infection, or trauma. We review a rare presentation of metachronous symptomatic bilateral secondary acquired lumbar hernia following spine surgery. A successful laparoscopic transabdominal lumbar hernia repair with extraperitoneal mesh placement was performed, with resolution of the hernia symptoms. An extensive literature review regarding lumbar hernia and different types of repairs was performed.

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Pitfalls and clinical recommendations for the primary lumbar hernia based on a systematic review of the literature

Steensel

Bloemen

Hil

et al. 2018

Hernia

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Purpose The lumbar abdominal wall hernia is a rare hernia in which abdominal contents protrude through a defect in the dorsal abdominal wall, which can be of iatrogenic, congenital, or traumatic origin. Two anatomical locations are known: the superior and the inferior lumbar triangle. The aim of this systematic review is to provide a clear overview of the existing literature and make practical clinical recommendations for proper diagnosis and treatment of the primary lumbar hernia. Methods The systematic review was conducted according to the PRISMA guidelines. A systematic search in PubMed, MEDLINE, and EMBASE was performed, and all studies reporting on primary lumbar hernias were included. No exclusion based on study design was performed. Data regarding incarceration, recurrence, complications, and surgical management were extracted. Results Out of 670 eligible articles, 14 were included and additional single case reports were analysed separately. The average quality of the included articles was 4.7 on the MINORS index (0–16). Risk factors are related to increased intra-abdominal pressure. CT scanning should be performed during pre-operative workup. Available evidence favours laparoscopic mesh reinforcement, saving open repair for larger defects. Incarceration was observed in 30.8% of the cases and 2.0% had a recurrence after surgical repair. Hematomas and seromas are common complications, but surgical site infections are relatively rare. Conclusion The high risks of incarceration in lumbar hernias demand a relatively fast elective repair. The use of a mesh is recommended, but the surgical approach should be tailored to individual patient characteristics and risk factors.

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Primary Grynfeltt’s Hernia

Cited by 4 publications

References 4 publications

An Extremely Rare Case Report of a Retroperitoneal Hernia Following Spinal Surgery

An Extremely Rare Case Report of a Retroperitoneal Hernia Following Spinal Surgery

Bilateral Lumbar Hernias Following Spine Surgery: A Case Report and Laparoscopic Transabdominal Repair

Pitfalls and clinical recommendations for the primary lumbar hernia based on a systematic review of the literature

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