Lumbar hernia: anatomical basis and clinical aspects
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TLDR
The anatomy of the two orifices of the abdominal posterior wall where lumbar hernias could appear are described and a correct surgical treatment permitted a quick recovery.Abstract:
The purpose of this study was to describe the anatomy of the two orifices of the abdominal posterior wall where lumbar hernias could appear. They may protrude through the superficial lumbar triangle (JL Petit) or the deepest superior orifice (Grynfeltt). The exact limits were precised by dissections in cadavers to explain the main differences of these two locations. We report two cases of spontaneous lumbar hernias discovered in outpatient clinic. Clinical diagnosis was difficult and both the patients were sent for lumbar lipoma but a meticulous examination gave us a clue. MRI was useful to confirm the defect in the posterior abdominal wall under the 12th rib. Only one patient was operated by a direct approach with a reinforcement of an unabsorbable mesh. No recurrence appeared during follow-up. Thanks to clinical and anatomical knowledge, these rare superior lumbar hernias were diagnosed and a correct surgical treatment permitted a quick recovery.read more
Citations
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A description of the lumbar interfascial triangle and its relation with the lateral raphe: anatomical constituents of load transfer through the lateral margin of the thoracolumbar fascia.
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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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Surgical Options in Lumbar Hernia: Laparoscopic Versus Open Repair. A Long-Term Prospective Study
TL;DR: Outcomes did not differ with respect to morbidity and recurrence rate after long-term follow-up; however, this study suggested that laparoscopic approach for lumbar hernia repair is safe, effective, and more efficient than open repair and can be considered the procedure of choice.
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Transversus abdominis plane block.
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Anatomical and surgical considerations on lumbar hernias.
Giuseppe Cavallaro,Arash Sadighi,Claudia Paparelli,Mario Miceli,Giuseppe D'Ermo,Andrea Polistena,Antonino Cavallaro,Giorgio De Toma +7 more
TL;DR: Surgical repair of lumbar hernias has rapidly developed through recent years, similarly to the treatment of more frequent kinds of hernia, evolving from direct repair to mini-invasive techniques, and nowadays there are two valid alternatives: open tension-free repair (with use of mesh), and mini-Invasive repair.
References
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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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Using CT to diagnose traumatic lumbar hernia.
TL;DR: CT can reveal traumatic lumbar hernia and show both the anatomy of disrupted muscular layers and the presence of herniated intraabdominal viscera or retroperitoneal fat.
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A novel technique of lumbar hernia repair using bone anchor fixation
Alfredo M. Carbonell,Kent W. Kercher,Lee B. Sigmon,Brent D. Matthews,Ronald F. Sing,J. S. Kneisl,B. T. Heniford +6 more
TL;DR: The sublay repair of lumbar hernias with permanent suture fixation is safe and to date has resulted in no recurrences.
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Lumbar hernia: Clinical analysis of 11 cases
X. Zhou,J. O. Nve,G. Chen +2 more
TL;DR: The clinical symptoms and signs usually allow for easy diagnosis and excision of the sac and high ligation, followed by repair using either surrounding tissue or prosthetic material, provided satisfactory results.
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The clinical anatomy of the triangle of Petit
Marios Loukas,R. S. Tubbs,R. S. Tubbs,Abraham El-Sedfy,A. Jester,S. Polepalli,C. Kinsela,S. Wu +7 more
TL;DR: The triangle was observed in 80 adult cadavers and its dimensions and surface area were measured to help prediction of which patients are at greater risk of herniation through the TP.