Lumbar hernia repaired using a new technique

Di Carlo, Isidoro; Toro, Adriana; Sparatore, Francesca; Corsale, Giuseppe
January 2007
American Surgeon;Jan2007, Vol. 73 Issue 1, p54
Academic Journal
journal article
Lumbar hernia is uncommon and occurs in Grynfeltt's triangle on the left side, more frequently in men than in women. Acquired lumbar hernias are the result of iliac crest bone harvest or blunt trauma and seat belt injuries in road accidents. Many surgical options have been reported for repairing this hernia through primary closure of the defect or through use of aponeurotic or prosthetic materials. The Dowd technique is the technique most often used. The authors describe a patient with posttraumatic inferior triangle lumbar hernia who underwent laparoscopy and, 10 days later, laparotomy. Both procedures failed. Finally, a novel lumbotomic surgical approach was used, involving the Dowd technique and prosthetic mesh. The patient was free of recurrence 3 months after the procedure.


Related Articles

  • The role of laparoscopy in abdominal trauma. Amin, P. B.; Magnotti, L. J.; Fabian, T. C.; Croce, M. A. // Trauma;04/01/2011, Vol. 13 Issue 2, p137 

    Since the advent of minimally invasive surgery, the use of laparoscopy for both diagnostic as well as therapeutic interventions has continued to expand in all of the surgical disciplines. In fact, this modality provides a viable alternative for the diagnosis of occult intra-abdominal injury...

  • Peptic Ulcer Perforation in the Thorax (Diaphragmatic Hernia): A Diagnostic Challenge. Dalal, Satish; Sahu, Rajun; Nityasha; Vashisht, M. G.; Dahiya, R. S. // Internet Journal of Surgery;2009, Vol. 19 Issue 1, p11 

    In modern surgical practice, diaphragmatic injury is seen with increasing frequency, but prompt recognition of diaphragmatic rupture resulting from blunt trauma can still pose a significant diagnostic challenge. We encountered an interesting case, where a traumatic diaphragmatic hernia could...

  • Laparoscopic splenectomy for severe blunt trauma: initial experience of ten consecutive cases with a fast hemostatic technique. Carobbi, Andrea; Romagnani, Francesco; Antonelli, Giacomo; Bianchini, Manlio // Surgical Endoscopy;Jun2010, Vol. 24 Issue 6, p1325 

    Minor splenic injuries from blunt trauma can be treated conservatively, whereas high-grade injuries commonly associated with multiple trauma require surgical treatment and usually removal of the organ. Although splenectomy is nowadays routinely performed laparoscopically for the treatment of...

  • The Role of Laparoscopy in Trauma: A Ten-Year Review of Diagnosis and Therapeutics. MALLAT, ALI F.; MANCINI, MATTHEW L.; DALEY, BRIAN J.; ENDERSON, BLAINE L. // American Surgeon;Dec2008, Vol. 74 Issue 12, p1166 

    Minimally invasive surgery has found many applications in general surgery. The role of laparoscopy in trauma has been debated as a diagnostic, as well as therapeutic, tool in hemodynamically stable patients. This study evaluated laparoscopy in the trauma population. A retrospective review of all...

  • Laparoscopic Repair of Penetrating Splenic Injury. Davoodi, Puya; Budde, Cristina; Minshall, Christian Todd // Journal of Laparoendoscopic & Advanced Surgical Techniques;Dec2009, Vol. 19 Issue 6, p795 

    Historically, all splenic injuries were treated with splenectomy. In recent decades, however, there has been a trend toward splenic conservation methods in an attempt to preserve immunologic functions. Although cases of splenic conservation in the setting of penetrating injuries exist in the...

  • Blunt diaphragmatic rupture: four year’s experience. Matsevych, O. // Hernia;Feb2008, Vol. 12 Issue 1, p73 

    Blunt diaphragmatic rupture (DR) is a rare condition usually masked by multiple associated injuries, which are the main cause of morbidity and mortality. The overall incidence of diaphragmatic injury is 0.8–5.8% in blunt trauma—2.5–5% in blunt abdominal trauma and 1.5% in...

  • Laparoscopic Repair of Traumatic Diaphragmatic Hernia. Latic, Ferid; Delibegovic, Samir; Latic, Azra; Samardzic, Josip; Zerem, Enver; Miskic, Djuro; Pitlovic, Vlatka; Koluh, Anhel // Medicinski Arhiv;2010, Vol. 64 Issue 2, p121 

    Diaphragm injuries are diagnosed in the acute phase of blunt trauma only in to % of cases - more often they are presented as hernia. Traumatic diaphragmatic hernia presents unique obstacles to a minimal invasive approach. However, with the proper training and equipment, most of these hernias are...

  • Delayed presentation of a traumatic diaphragmatic rupture with intrapericardial herniation. Çipe, G.; Genç, V.; Uzun, Ç.; Atasoy, Ç.; Erkek, B. // Hernia;Aug2012, Vol. 16 Issue 4, p485 

    Thoracic and abdominal blunt traumas are the major causes of diaphragmatic rupture. These ruptures may be recognized at the time of the initial trauma, but are diagnosed months or even years later during the workup for related symptoms. We present herein a patient who suffered from abdominal...

  • Laparoscopic examination of the traumatized spleen with... Collin, Gary R.; Bianchi, Joseph D. // American Surgeon;Jun1997, Vol. 63 Issue 6, p478 

    Presents a case of blunt splenic trauma, in which laparoscopy was used to decrease the risks of both operative and nonoperative management by decreasing the risks of standard laparotomies for a spleen trauma and of banked-blood transfusion through the used of autotransfusion. Risks of blood...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics