Annals of Surgical Treatment and Research

  • 제95권6호
  • /
  • Pages.340-344
  • /
  • 2018
  • /
  • 2288-6575(pISSN)
  • /
  • 2288-6796(eISSN)
대한외과학회 (The Korean Surgical Society)
권호 표지
DOI QR코드

DOI QR Code

Traumatic lumbar hernia: clinical features and management

  • Park, Youngeun (Department of Trauma, Gachon University Gil Medical Center) ;
  • Chung, Min (Department of Trauma, Gachon University Gil Medical Center) ;
  • Lee, Min A (Department of Trauma, Gachon University Gil Medical Center)
  • 투고 : 2018.02.23
  • 심사 : 2018.06.08
  • 발행 : 2018.12.01
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias. Methods: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed. Results: We included 5 men and 4 women (mean age, 55 years; range, 23-71 years). In 8 patients, most injuries were caused by motor vehicle collisions, including those wherein a pedestrian was struck (5 cases of car accidents, 2 falls, and 1 involving penetrating materials); in 1 patient, the probable cause was severe cough. Eight patients underwent hernia repair surgery (5 open and 3 laparoscopic), and a prosthetic mesh was used in 7 patients. Hernia repairs were elective in 7 patients; emergency hernia repair was performed with right hemicolectomy in 1 patient. No severe complication or recurrence was observed. Only 2 patients had mild complications, such as postoperative seroma. Conclusion: Traumatic lumbar hernia is a relatively rare injury of the posteriolateral abdominal wall. Lumbar hernia should be suspected in patients with high-energy injuries of the torso, and all such patients should undergo abdominopelvic computed tomography. After diagnosis, hernia repair can be electively performed without complications in most cases.

키워드

참고문헌

  1. Moreno-Egea A, Baena EG, Calle MC, Martinez JA, Albasini JL. Controversies in the current management of lumbar hernias. Arch Surg 2007;142:82-8. https://doi.org/10.1001/archsurg.142.1.82
  2. Burt BM, Afifi HY, Wantz GE, Barie PS. Traumatic lumbar hernia: report of cases and comprehensive review of the literature. J Trauma 2004;57:1361-70. https://doi.org/10.1097/01.TA.0000145084.25342.9D
  3. Geis WP, Saletta JD. Lumbar hernia. In: Nyhus LM, Condon RE, editors. Hernia. Philadelphia (PA): Lippincott; 1989. p. 401-15.
  4. Zhou X, Nve JO, Chen G. Lumbar hernia: clinical analysis of 11 cases. Hernia 2004;8:260-3.
  5. Presti JC Jr, Narayan P. Lumbar herniation of the kidney. J Urol 1988;140:586-7. https://doi.org/10.1016/S0022-5347(17)41726-5
  6. Shuhaiber J, Dunn T, Evans A, Fishman D, Merlotti G, Salzman S. Traumatic lumbar hernia with ureteropelvic junction disruption: case report and review of the literature. J Trauma 2003;55:985-8. https://doi.org/10.1097/01.TA.0000031717.23635.DA
  7. Biotois H, Couinaud C. A case of lumbar hernia favoring the formation of a mass in the pelvic colon. J Chir (Paris) 1969;98:27-30.
  8. Lauritzen JB, Ebbehoj N. Retropancreatic abscess. Intermittent lumbar hernia. Ugeskr Laeger 1985;147:526.
  9. Zub A, Kozka M. Petit's triangle hernia clinically mimicking gluteal abscess. Przegl Lek 2003;60 Suppl 7:86-7.
  10. Skrekas G, Stafyla VK, Papalois VE. A Grynfeltt hernia: report of a case. Hernia 2005;9:188-91. https://doi.org/10.1007/s10029-004-0278-6
  11. Arca MJ, Heniford BT, Pokorny R, Wilson MA, Mayes J, Gagner M. Laparoscopic repair of lumbar hernias. J Am Coll Surg 1998;187:147-52. https://doi.org/10.1016/S1072-7515(98)00124-0
  12. Bickel A, Haj M, Eitan A. Laparoscopic management of lumbar hernia. Surg Endosc 1997;11:1129-30. https://doi.org/10.1007/s004649900547
  13. Moreno-Egea A, Torralba-Martinez JA, Morales G, Fernandez T, Girela E, Aguayo- Albasini JL. Open vs laparoscopic repair of secondary lumbar hernias: a prospective nonrandomized study. Surg Endosc 2005;19:184-7. https://doi.org/10.1007/s00464-004-9067-7
  14. Heniford BT, Iannitti DA, Gagner M. Laparoscopic inferior and superior lumbar hernia repair. Arch Surg 1997;132:1141-4. https://doi.org/10.1001/archsurg.1997.01430340095017
  15. Shekarriz B, Graziottin TM, Gholami S, Lu HF, Yamada H, Duh QY, et al. Transperitoneal preperitoneal laparoscopic lumbar incisional herniorrhaphy. J Urol 2001;166:1267-9. https://doi.org/10.1016/S0022-5347(05)65750-3
  16. Meinke AK. Totally extraperitoneal laparoendoscopic repair of lumbar hernia. Surg Endosc 2003;17:734-7. https://doi.org/10.1007/s00464-002-8557-8
  17. Postema RR, Bonjer HJ. Endoscopic extraperitoneal repair of a Grynfeltt hernia. Surg Endosc 2002;16:716.
  18. Habib E. Retroperitoneoscopic tensionfree repair of lumbar hernia. Hernia 2003;7:150-2. https://doi.org/10.1007/s10029-002-0109-6
  19. Moreno-Egea A, Aguayo JL. Ambulatory laparoscopic repair of inferior lumbar or Petit hernia: a case report. Surg Endosc 2002;16:1107.
  20. Salameh JR, Salloum EJ. Lumbar incisional hernias: diagnostic and management dilemma. JSLS 2004;8:391-4.
  21. Killeen KL, Girard S, DeMeo JH, Shanmuganathan K, Mirvis SE. Using CT to diagnose traumatic lumbar hernia. AJR Am J Roentgenol 2000;174:1413-5. https://doi.org/10.2214/ajr.174.5.1741413

피인용 문헌

  1. Timing of repair and mesh use in traumatic abdominal wall defects: a systematic review and meta-analysis of current literature vol.14, pp.1, 2018, https://doi.org/10.1186/s13017-019-0271-0