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Lumbar Hernia


Presentation

  • Two cases with congenital lumbar hernia associated with the lumbocostovertebral syndrome are presented. The first case of a 14-month-old girl presented with the type of a superior lumbar triangle hernia.[ncbi.nlm.nih.gov]
  • CASE PRESENTATION: We report a case of a 66 year old Caucasian woman presenting with perforated sigmoid diverticulitis localized in a lumbar hernia following iliac crest bone graft performed 18 years ago.[ncbi.nlm.nih.gov]
  • Abstract We report a unique case of chronic contained thoraco-abdominal aneurysm rupture presenting as a Grynfeltt lumbar hernia.[ncbi.nlm.nih.gov]
  • This article presents the above case and reviews the published literature relating to this subject.[ncbi.nlm.nih.gov]
  • Here, we present a case of a 49-year-old Caucasian man who presented with an enlarged left flank mass after iliac bone harvest for pseudarthrosis.[ncbi.nlm.nih.gov]
Flank Mass
  • Here, we present a case of a 49-year-old Caucasian man who presented with an enlarged left flank mass after iliac bone harvest for pseudarthrosis.[ncbi.nlm.nih.gov]
Back Pain
  • Differential diagnosis See Sciatica See Low Back Pain Red Flag s See Musculoskeletal Low Back Pain Lumbar spine Degenerative Joint Disease Lumbar Radiculopathy due to spine degeneration (osteophytes or bone spurs) typically follows a fixed or progressive[fpnotebook.com]
  • 2}, pages { 73-6 } } Gregory R Lillie , Eric J Deppert Published 2010 in Journal of chiropractic medicine DOI: 10.1016/j.jcm.2010.02.001 OBJECTIVE Lumbar triangle hernias are rarely reported causes of low back pain.[semanticscholar.org]
  • If you feel back pain, a dragging sensation, or a bulge in the side of your abdomen following an operation, you may have a lumbar (flank) hernia.[nycherniasurgery.com]
  • (Birkmeyer NJ, Weinstein JN: Medical versus surgical treatment for low back pain: evidence and clinical practice.[hss.edu]
Low Back Pain
  • Differential diagnosis See Sciatica See Low Back Pain Red Flag s See Musculoskeletal Low Back Pain Lumbar spine Degenerative Joint Disease Lumbar Radiculopathy due to spine degeneration (osteophytes or bone spurs) typically follows a fixed or progressive[fpnotebook.com]
  • 2}, pages { 73-6 } } Gregory R Lillie , Eric J Deppert Published 2010 in Journal of chiropractic medicine DOI: 10.1016/j.jcm.2010.02.001 OBJECTIVE Lumbar triangle hernias are rarely reported causes of low back pain.[semanticscholar.org]
  • (Birkmeyer NJ, Weinstein JN: Medical versus surgical treatment for low back pain: evidence and clinical practice.[hss.edu]
  • Manipulation may provide short-term relief from nonspecific low back pain, but should be avoided in most cases of herniated disc. At first, the exercises you learn may be gentle stretches or posture changes to reduce the back pain or leg symptoms.[knowyourback.org]
  • back pain, colic or a pulling sensation.[pmj.bmj.com]
Spine Pain
  • : Pain moving your neck Deep pain near or over your shoulder blade Radiating pain in your upper arm, forearm, and possibly your fingers Pain from a herniated disc may start slowly and get worse over time or during certain activities.[depuysynthes.com]
Acute Low Back Pain
  • DC, PT: Comparison of Classification-Based Physical Therapy With Therapy Based on Clinical Practice Guidelines for Patients with Acute Low Back Pain: A Randomized Clinical Trial. Spine. 28(13):1363-1371, July 1, 2003.)[hss.edu]
Flank Pain
  • If symptoms are present, they include back or flank pain or a dragging sensation. Left untreated, lumbar hernias can grow to large proportions.[transplant.surgery.ucsf.edu]
  • **Patients with lumbar hernia are usually asymptomatic but may complain of backache, flank pain or a dragging sensation. These hernias have a natural history of a gradual increase in size over time. Left lumbar hernia .[mediphotos.blogspot.com]
  • These include backache, flank pain, occasional nausea, a feeling of weight or a dragging sensation. In small lesions or in obese patients or no abnormality may be detected on physical examination.[ijri.org]
  • Case Report A 55-year-old female presented with a one-month history of right flank pain. The only significant history was of a motor vehicle accident, in which she was a passenger. This occurred seven years ago.[videojournalofsurgery.com]

Treatment

  • We present a case of an isolated acute lumbar hernia due to blunt abdominal trauma, and we discuss mesh repair without laparotomy as the treatment modality.[ncbi.nlm.nih.gov]
  • The only curative treatment is surgery and must be done as soon as the diagnosis was made.[ncbi.nlm.nih.gov]
  • One patients' parents refused surgery for the CLH after treatment of a hydrometrocolpos and another died of fulminant pneumonia before the operation. Early operation is the treatment of choice, and repair with local tissues is preferable.[ncbi.nlm.nih.gov]
  • We conclude that laparoscopic tension-free repair should be the preferred option for the treatment of lumbar hernia.[ncbi.nlm.nih.gov]
  • The anatomy, cause, and surgical treatment of lumbar hernia are reviewed.[ncbi.nlm.nih.gov]

Prognosis

  • Prognosis Most disc problems improve without surgery and return to normal function. Duration of treatment can range from 4 to 12 weeks depending on the severity of the symptoms.[twinboro.com]

Etiology

  • However, no substantial differences were found in etiology, anatomical locations, symptoms, and herniated contents.[ncbi.nlm.nih.gov]
  • Abstract Lumbar hernia is a rare form of abdominal hernia, which has been recognized later along the early development of the modern surgery. it has been, on many occasions, the object of heavy debate regarding its anatomical background and as well its etiology[ncbi.nlm.nih.gov]
  • This article discusses the anatomy of lumbar and flank hernias, the various etiologies for these hernias, and the procedural steps for open and robotic preperitoneal approaches.[ncbi.nlm.nih.gov]
  • The etiology study showed that 13 cases after surgical operations and one case after trauma. The average size of the hernia defect was 86.8   46.4 cm(2), while the mean size of the mesh implanted was 275   61.2 cm(2).[ncbi.nlm.nih.gov]
  • There are three broad etiologies for lumbar hernias: congenital hernias (20%) discovered in infancy and are due to defects in the musculoskeletal system may be associated with other malformations primary acquired lumbar hernias (55%) spontaneous, without[radiopaedia.org]

Epidemiology

  • Yang W, Carmichael SL, Harris JA, Shaw GM (2006) Epidemiologic characteristics of congenital diaphragmatic hernia among 2.5 million California births, 1989–1997. Birth Defects Res Part Clin Mol Teratol 76:170–174 CrossRef Google Scholar 43.[link.springer.com]
  • Epidemiology The incidence of inguinal hernia in the population varies between 2% and 4%, increasing with age up to 20%. In 95% of cases, hernias are external, and in 5% they are internal.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • Morgan BP (1995) Physiology and pathophysiology of complement: progress and trends. Crit Rev Clin Lab Sci 32:265–298 CrossRef PubMed Google Scholar 21.[link.springer.com]

Prevention

  • In larger defects, a second mesh can be used to prevent further enlargement of the triangle and also to provide additional protection beyond the bone limits. KEYWORDS: Hernia; Lumbar hernia; Open repair; Prosthetic mesh repair[ncbi.nlm.nih.gov]
  • Two Mitek GII QuickAnchor sutures were placed in the anterior superior iliac crest to provide inferior fixation of the mesh, with sufficient overlap of the mesh to prevent recurrence.[ncbi.nlm.nih.gov]
  • However, in spite of their rarity, serious adverse intraoperative complications may occur, so we must be aware of its existence in order to make an early diagnosis and treatment to prevent a fatal outcome.[revistaneurocirugia.com]

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