scholarly journals Open Approach to Primary Lumbar Hernia Repair: A Lucid Option

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Ketan Vagholkar ◽  
Suvarna Vagholkar
Keyword(s):  
Mesh Repair ◽  
Lumbar Hernia ◽  
Surgical Approaches ◽  
Open Approach ◽  
Rare Type ◽  
Road Map ◽  
Anatomical Basis ◽  
Open Mesh Repair ◽  
Proper Diagnosis ◽  
Open Mesh

Background. Lumbar hernia is a rare type of hernia. Awareness of the anatomical basis of this hernia is important for proper diagnosis and treatment. Introduction. Lumbar hernia is a protrusion of either extraperitoneal fat or intraperitoneal contents through either of the lumbar triangles. Primary lumbar hernias are extremely rare thereby rendering such a case reportable, to create an awareness about this condition to upcoming surgeons. Case Report. A case of primary lumbar hernia treated successfully by open mesh repair is presented. Discussion. The anatomical aspects underlying this condition along with diagnostic tests, their pitfalls, and surgical approaches are discussed. Conclusion. Awareness of this condition is essential for arriving at a clinical diagnosis. CT scan provides a road map for deciding the approach. Both the traditional open and the newer laparoscopic approaches are described. However open meshplasty is still a very safe and effective method of treatment.

scholarly journals A primary inferior lumbar hernia misdiagnosed as a lipoma

2019 ◽  
Vol 101 (4) ◽  
pp. e96-e98 ◽  
Author(s):  
B Kadler ◽  
A Shetye ◽  
DK Patten ◽  
A Al-Nowfal
Keyword(s):  
Laparoscopic Surgery ◽  
Gold Standard ◽  
Mesh Repair ◽  
Surgical Intervention ◽  
Lumbar Hernia ◽  
Cross Sectional ◽  
Open Mesh Repair ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
Open Mesh

Lumbar hernias can be superior (Grynfelt) and inferior (Petit). Inferior lumbar hernias are extremely rare and, therefore, are associated with diagnostic difficulty. We present 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. The first operation was abandoned and an open mesh repair was conducted.Lumbar hernias can be primary acquired (55%), secondary acquired (25%) or congenital (20%). Cross-sectional imaging by CT or MRI appears to be the gold standard in diagnosis as ultrasound may lead to misdiagnosis. Strangulation, incarceration and obstruction are recognised complications, requiring prompt surgical intervention. There are currently no guidelines for surgical managements, although laparoscopic surgery may give the best results. In view of the scarcity of published cases, we aim to add to the literature to raise the index of suspicion and to promote prompt surgical management of lumbar hernias.

scholarly journals Primary lumbar hernia: a rarely encountered ventral hernia

2020 ◽  
Vol 7 (5) ◽  
pp. 1669
Author(s):  
Sunil Kumar B. B. ◽  
Ashwini Kumar Kumar Choudhary ◽  
Lavanya Raghupathi
Keyword(s):  
Ventral Hernia ◽  
Mesh Repair ◽  
Lumbar Hernia ◽  
General Surgeon ◽  
Lumbar Region ◽  
Fascial Defect ◽  
Wall Defect ◽  
Open Mesh Repair ◽  
Ventral Hernias ◽  
Open Mesh

Ventral hernia is a fascial defect located on the abdominal wall. Primary ventral hernias are named as umbilical, epigastric, spigelian and lumbar hernias. A lumbar hernia is a parietal wall defect that may occur anywhere in the lumbar region between the 12th rib and the iliac crest. A 47-year-old female, came with complaints of mass in left lower abdomen since 2 months. On clinical examination a defect of 8 × 8 cm was felt in the left lumbar region with positive cough impulse. CECT abdomen and pelvis was done to confirm lumbar hernia. Patient underwent mesh repair for the same. Lumbar and flank hernias are uncommon and are a challenge to treat for any general surgeon. Surgery is considered gold standard either an open mesh repair or laparoscopically.

Rare giant inguinal hernia causing end-stage dialysis-dependent renal failure

2020 ◽  
Vol 13 (4) ◽  
pp. e233140
Author(s):  
Jacob Levi ◽  
Karl Chopra ◽  
Mubashar Hussain ◽  
Shafiul Chowdhury
Keyword(s):  
Inguinal Hernia ◽  
Mesh Repair ◽  
Obstructive Uropathy ◽  
Kidney Injury ◽  
Past Medical History ◽  
Bladder Hernia ◽  
Open Mesh Repair ◽  
Catheter Tip ◽  
End Stage ◽  
Open Mesh

A 72-year-old man presented with urinary retention, weight loss, haematuria and severe acute kidney injury. He had never before been admitted to hospital and his past medical history included only an inguinal hernia. On examination, he appeared uraemic and had a right-sided painful hernia. A three-way catheter was inserted, bladder washouts performed and irrigation started. An ultrasound showed severe bilateral hydronephrosis and a ‘thickened bladder’ and this was thought to be obstructive uropathy secondary to bladder cancer. Twenty-four hours later his hernia doubled in diameter, became incarcerated and a CT of the abdomen and pelvis showed an inguinal hernia of both bladder and bowel, with the catheter tip inside the bladder hernia. He was taken to theatres and an open mesh repair was performed with a rigid cystoscopy to assist in locating and reducing the bladder. He required intensive care and dialysis postoperatively and remains on regular dialysis following discharge.

Should Open Mesh Repair With Local Anesthesia be the Standard of Care for Randomized Trials?

2011 ◽  
Vol 254 (2) ◽  
pp. 385
Author(s):  
Hester R. Langeveld ◽  
Martijne vanʼt Riet ◽  
Johan F. Lange ◽  
Johannes Jeekel
Keyword(s):  
Local Anesthesia ◽  
Mesh Repair ◽  
Randomized Trials ◽  
Standard Of Care ◽  
Open Mesh Repair ◽  
Open Mesh

Outcomes of primary and recurrent inguinal hernia repair with prosthetic mesh in a single region over 15 years

2021 ◽  
Vol 103 (7) ◽  
pp. 493-495
Author(s):  
L Smith ◽  
D Magowan ◽  
R Singh ◽  
BM Stephenson
Keyword(s):  
Inguinal Hernia ◽  
Mesh Repair ◽  
Primary Repair ◽  
Prosthetic Mesh ◽  
Recurrent Inguinal Hernia ◽  
Open Approach ◽  
Symptomatic Recurrence ◽  
Single Region ◽  
Open Mesh Repair ◽  
Recurrent Herniation

Background Sutured inguinal hernia repairs are now uncommon, with evidence suggesting that those augmented with mesh are associated with a lower recurrence rate. We aimed to explore the suggestion that the established use of mesh does indeed lower the rate of operation for recurrence in a single National Health Service region. Method We collected retrospective Office of Population Censuses and Surveys coded data across one region of all primary and recurrent inguinal hernia repairs over 15 years (2004–2019). Electronic records of recurrent repairs were scrutinised to identify year and type of previous primary repair. Results In total, 7,234 repairs were performed during this time, of which 289 (4%) were for symptomatic recurrence. Operations for primary repair increased year on year (111 in 2004 to 402 in 2019). Frequency of operation for recurrent herniation declined with increasing use of mesh (8.8% in 2004 to 3.5% in 2019). The majority of repairs (73%) for recurrence were by an open approach. As opposed to an open mesh repair, a primary laparoscopic repair was associated with an earlier recurrence. Conclusions Inguinal hernia repairs are increasing in frequency but operations for later symptomatic recurrence following an open primary prosthetic mesh repair are not.

Reply to comment to Meta-analysis and systematic review of laparoscopic versus open mesh repair for elective incisional hernia. Jensen K, Jorgensen LN

Hernia ◽  
2015 ◽  
Vol 19 (6) ◽  
pp. 1027-1029 ◽  
Author(s):  
A. Awaiz ◽  
F. Rahman ◽  
M. B. Hossain ◽  
R. M. Yunus ◽  
S. Khan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Incisional Hernia ◽  
Mesh Repair ◽  
Meta Analysis ◽  
Open Mesh Repair ◽  
Open Mesh

scholarly journals The Role of Antibiotic Prophylaxis in Prevention of Wound Infection After Lichtenstein Open Mesh Repair of Primary Inguinal Hernia

2004 ◽  
Vol 240 (6) ◽  
pp. 955-961 ◽  
Author(s):  
Theo J. Aufenacker ◽  
Dirk van Geldere ◽  
Taco van Mesdag ◽  
Astrid N. Bossers ◽  
Benno Dekker ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Antibiotic Prophylaxis ◽  
Wound Infection ◽  
Mesh Repair ◽  
Primary Inguinal Hernia ◽  
Open Mesh Repair ◽  
Open Mesh
Sign in / Sign up

Export Citation Format

Share Document