Grynfelt-Lesshaft hernia a case report and review of the literature
C.F. Ploneda-Valencia,E. Cordero-Estrada,L.G. Castañeda-González,Victor Hugo Sainz-Escárrega,O. Varela-Muñoz,L.F. de la Cerda-Trujillo,C.A. Bautista-López,C.R. López-Lizarraga +7 more
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TLDR
The Sandwich technique has demonstrated good outcomes in the management of the Grynfelt-Lesshaft's hernia and should be according to the classification proposed and to the experience of the surgeon.Abstract:
Introduction Lumbar hernia account for less than 2% of al abdominal hernias, been the Grynfelt-Lesshaft's hernia (GLH) more frequent than the others. With approximately 300 cases published in the literature, the general surgeon may have the chance of treat it ones in their professional life. Case report A 42-years old male with human immunodeficiency virus and Diabetes Mellitus presented to the outpatient clinic with a GLH. Preoperative classified as a type “A” lumbar hernia an open approach was scheduled. We performed a Sandwich technique with a sublay and onlay ULTRAPRO® mesh fixed with PDS® II suture without complications and discharged the patient 24-h after. After six months, the patient denied any complication. Discussion Primary (spontaneous) lumbar hernias represent 50–60% of all GLH. The preoperative classification of a lumbar hernia is mandatory to propose the best surgical approach. According to the classification of Moreno-Egea A et al., the best technique for our patient was an open approach. The Sandwich technique has demonstrated good outcomes in the management of the GLH. Conclusion The surgical approach should be according to the classification proposed and to the experience of the surgeon. The Sandwich technique has good outcomes.read more
Citations
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Journal ArticleDOI
Pitfalls and clinical recommendations for the primary lumbar hernia based on a systematic review of the literature.
S. van Steensel,S. van Steensel,A. Bloemen,L. C. L. van den Hil,L. C. L. van den Hil,J. van den Bos,J. van den Bos,G. J. Kleinrensink,Nicole D. Bouvy,Nicole D. Bouvy +9 more
TL;DR: The high risks of incarceration in lumbar hernias demand a relatively fast elective repair, but the surgical approach should be tailored to individual patient characteristics and risk factors.
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A primary inferior lumbar hernia misdiagnosed as a lipoma.
TL;DR: A case of a primary spontaneous inferior lumbar hernia in a 79‐year‐old woman that was initially diagnosed as a large lipoma on ultrasound is presented.
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Clinical, surgical characteristics and long-term outcomes of lumbar hernia.
TL;DR: In this paper, the authors investigated the clinical, surgical characteristics and outcomes of lumbar hernia by collecting 28 patients from a hospital between April 2011 and August 2020, including 13 males (46%) and 15 females (54%).
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Sublay repair for primary superior lumbar hernia with the Kugel patch.
Ronggui Lin,Tianhong Teng,Xianchao Lin,Fengchun Lu,Yuanyuan Yang,Congfei Wang,Yanchang Chen,Heguang Huang +7 more
TL;DR: A superior lumbar hernia is a posterior ventral hernia that is rarely encountered in the clinical setting and however, no standard operative strategy exists for superiorLumbar Hernia repair at present.
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Bilateral lumbar hernia.
Iris Chung,KY Wong +1 more
TL;DR: The most recent experience was in March 2017 when a 66-year-old man was referred to the centre for incidental finding of painless swellings over bilateral flanks which spontaneously reduced when the patient was supine; cough impulses were present.
References
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Journal ArticleDOI
Controversies in the current management of lumbar hernias.
Alfredo Moreno-Egea,Enrique Girela Baena,Miquel Corral de la Calle,José Antonio Torralba Martínez,José Luis Aguayo Albasini +4 more
TL;DR: An original classification based on 6 categories and 4 types of lumbar hernia is presented, which seems to be the best option for treating small or moderate defects; open surgery can be reserved for large defects and to salvage failures with the laparoscopic approach.
Journal ArticleDOI
Open vs laparoscopic repair of secondary lumbar hernias: a prospective nonrandomized study
Alfredo Moreno-Egea,José Antonio Torralba-Martínez,G. Morales,T. Fernández,Enrique Girela,José Luis Aguayo-Albasini +5 more
TL;DR: The laparoscopic approach to secondary lumbar hernia repair is more efficient and more profitable than the traditional open technique.
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Laparoscopic repair of a lumbar hernia: report of a case and extensive review of the literature.
Sebastian Suarez,Juan Hernández +1 more
TL;DR: A case of a spontaneous lumbar hernia initially diagnosed as a lipoma and corrected with the open approach, but after relapsing 2 years later it was corrected using a laparoscopic approach.
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Petit's Lumbar Hernia: Repair with Marlex Mesh
TL;DR: Because of their rarity, 2 cases of Petit's hernia are being presented, in addition to the experience with lumbar hernias in general, and the anatomy of the general area in which this hernia occurs is reviewed.
Journal ArticleDOI
The clinical anatomy of the triangle of Grynfeltt
Marios Loukas,Diala El-Zammar,Mohammadali Mohajel Shoja,R. S. Tubbs,L. Zhan,Bogdan Protyniak,Y. Krutoshinskaya +6 more
TL;DR: The aim of this study was to identify and describe variations in the size and anatomy of the superior lumbar triangle of Grynfeltt, and to serve practitioners in predicting which morphometric variations of the TG most predispose patients to posterior wall herniation.