Primary lumbar hernia: A rarely encountered hernia

Sundaramurthy, Sharada; Suresh, HB; Anirudh, A.V.; Rozario, Anthony Prakash

doi:10.1016/j.ijscr.2015.09.041

Cited by 28 publications

(44 citation statements)

References 12 publications

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“…Discusión El triángulo lumbar superior o de Grynfelt-Lesshaft, tiene forma invertida limitado en su base por la 12ª costilla; borde inferior, el músculo serrato posteroinferior; lado posterior, el músculo sacroespinal; anterior el músculo oblicuo interno; techo músculo oblicuo externo y dorsal ancho; el suelo es la fascia transversalis y la aponeurosis del músculo transverso. El triángulo lumbar inferior o de Petit, tiene como límites la cresta del hueso iliaco como base; el músculo oblicuo externo como borde lateral y músculo dorsal ancho como borde medial; el suelo lo forma la fascia lumbodorsal 7,8 . De acuerdo con las características anatómicas, este caso es compatible con la hernia de Petit congénita.…”

Section: Caso Clínicounclassified

“…La hernia difusa es una tercera variedad de HL, representa el 5% de los casos 11 . El contenido de la hernia lumbar puede ser grasa retroperitoneal, riñón, colon, intestino delgado, epiplón, ovario, bazo o apéndice 8,13 . En el presente caso el contenido fue asas de intestino delgado, identificadas mediante ultrasonido (USG) abdominal, pero con reducción espontánea, durante la cirugía debido a la relajación y disminución de la presión intrabdominal, el volumen del saco herniario era menor, siempre conteniendo asas de intestino delgado y grasa retroperitoneal.…”

Section: Caso Clínicounclassified

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Hernia de Petit congénita en un escolar. Reparación con malla protésica. Reporte de caso

Sánchez-Sierra

Matínez-Quiroz²,

Montoya-Reales

et al. 2019

Rev. cir.

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The abdominal wall congenital lumbar hernia is a rare condition, There are around 50 cases describe in the English literature. These are classified according to their anatomical site of appearance, upper or lower lumbar triangle. Case presentation: A 6-year-old male patient presented congenital left mass in the lumbar region, reductible, size 10 x 8 cm; during abdominal ultrasound, hernia was compatible with Petits congenital hernia. A reduction of the hernial sack with anterior plasty and placement of the prosthetic mesh at the defect site was performed. Discussion: The triangle of Grynfelt-Lesshaft, is larger and more constant than the triangle of Petit, the latter represents the least common location. Several repair techniques are described, but anterior hernioplasty is the most recommended. Conclusion: Lumbar hernia should be considered as a differential diagnosis in all newborns with protruding mass on the left or right flank at birth, accompanied or not by another obvious or non-evident malformation. Early diagnosis avoids possible complications and allows for opportune treatment, allowing the patient a better lifestyle.

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Section: Caso Clínicounclassified

Hernia de Petit congénita en un escolar. Reparación con malla protésica. Reporte de caso

Sánchez-Sierra

Matínez-Quiroz²,

Montoya-Reales

et al. 2019

Rev. cir.

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“…A lumbar hernia is defined as the abdominal organs or retroperitoneal fat protruding although defect areas in the lumbar region. Lumbar hernia is a rarely encountered posterior ventral hernia, which accounts for <2% of all external abdominal hernias. Lumbar hernia is divided into congenital lumbar hernia (20%) and acquired lumbar hernia (80%) according to the aetiology .…”

Section: Introductionmentioning

confidence: 99%

Sublay repair for primary superior lumbar hernia with the Kugel patch

Lin

Teng

Lin

et al. 2020

ANZ Journal of Surgery

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Background: A superior lumbar hernia is a posterior ventral hernia that is rarely encountered in the clinical setting. However, no standard operative strategy exists for superior lumbar hernia repair at present. Methods: Twelve patients with primary superior lumbar hernia who underwent sublay repair via the retroperitoneal space with the Kugel patch between December 2008 and June 2019 were included in this study. The demographic, peri-operative and post-operative data of the patients were collected to analyse the effectiveness of this technique. Results: All patients underwent an uneventful operation. The median operative time was 60 min, and the median blood loss was 35 mL. The median hernia defect area was 16 cm 2 . Five medium-sized Kugel patches (11 cm × 14 cm) and seven large-sized Kugel patches (14 cm × 17 cm) were used for the repairs. The median visual analogue scale score on postoperative day 1 was 3. The median time to removal of drainage was 3 days. The median duration of the hospital stay was 3 days. No serious post-operative complications, including seroma, haematoma, incision or mesh infection, recurrence and chronic pain, occurred during the follow-up period. Conclusion: Sublay repair for primary superior lumbar hernia with the Kugel patch shows benefits including a reliable repair, minimal invasiveness and few post-operative complications.

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“…[2,5] Based on the anatomical defect, lumbar hernias are classified into two types: Superior (GrynfelttLesshaft) and Inferior (Petit), being named after the individuals who discovered them. [6] Superior lumbar hernias account for a majority of the reported cases.…”

Section: Introductionmentioning

confidence: 99%

“…[6] Superior lumbar hernias account for a majority of the reported cases. [5] Although only 25% of spontaneous lumbar hernias become incarcerated, lumbar hernias should be repaired as soon as possible to prevent possible strangulation and death of abdominal contents. [4] As a result, it is important to rule out a diagnosis of lumbar hernia, especially in the face of an entity that is known for being difficult to diagnose.…”

Section: Introductionmentioning

confidence: 99%

Bone anchor fixation method of an incarcerated Petit hernia in an elderly lady: Optimal management of a rare case

Abdrabboh

Mohamed

Elmoghrabi

et al. 2016

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Background: The first reported lumbar hernia was in 1731. Since then, only about 300 cases have been reported in the literature. Approximately 20% of lumbar hernias are congenital and the remainder are acquired. They commonly occur in males, more frequently on the left side, and the majority are reported in the sixth-to-seventh decade of life. Based on the anatomical defect, lumbar hernias are classified into two types: superior (Grynfeltt-Lesshaft) and Inferior (Petit). Petit hernias are less common and their proximity to bone can make them more difficult to repair. Several methods for optimal repair have been proposed. Since 2004, only 7 reports advocated surgical management using the bone anchor fixation method. Case description: A 79-year-old obese female presented to the outpatient clinic with a 1-year history of moderate right lumbar pain. Examination revealed a tender bulge in the posterior lumbar region. CT of the abdomen & pelvis revealed a 6.6 cm × 7.4 cm defect in the right posterolateral abdomen incorporating parts of the right ascending colon. She was diagnosed with right-sided Petit lumbar hernia and underwent an open hernia repair with iliac crest anchor fixation and mesh implantation. The postoperative course was uneventful and the patient was discharged in a stable condition. Conclusions: Lumbar hernias represent a rare clinical phenomenon, especially in females. A protruding mass in the lumbar region with localized abdominal pain and radiographic evidence of posterior abdominal wall defect should raise suspicion for a lumbar hernia. Predisposing factors such as old age, obesity and conditions that increase intra-abdominal pressure increase the risk of lumbar hernia. There is a current dilemma centered on the optimal type of surgical approach and repair technique. In our case, an open repair using the bone anchor fixation technique led to excellent results.

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Primary lumbar hernia: A rarely encountered hernia

Abstract: HighlightsLumbar hernia is a rare hernia.Types and etiology of lumbar hernia.Anatomy of the lumbar triangles.Presentation and diagnosis.Management: surgical options.

Cited by 28 publications

References 12 publications

Hernia de Petit congénita en un escolar. Reparación con malla protésica. Reporte de caso

Hernia de Petit congénita en un escolar. Reparación con malla protésica. Reporte de caso

Sublay repair for primary superior lumbar hernia with the Kugel patch

Bone anchor fixation method of an incarcerated Petit hernia in an elderly lady: Optimal management of a rare case

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