Traumatic lumbar hernia: clinical features and management
Annals of Surgical Treatment and Research
;
: 340-344, 2018.
Article
in English
| WPRIM
| ID: wpr-719201
ABSTRACT
PURPOSE:
Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias.METHODS:
The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed.RESULTS:
We included 5 men and 4 women (mean age, 55 years; range, 23–71 years). In 8 patients, most injuries were caused by motor vehicle collisions, including those wherein a pedestrian was struck (5 cases of car accidents, 2 falls, and 1 involving penetrating materials); in 1 patient, the probable cause was severe cough. Eight patients underwent hernia repair surgery (5 open and 3 laparoscopic), and a prosthetic mesh was used in 7 patients. Hernia repairs were elective in 7 patients; emergency hernia repair was performed with right hemicolectomy in 1 patient. No severe complication or recurrence was observed. Only 2 patients had mild complications, such as postoperative seroma.CONCLUSION:
Traumatic lumbar hernia is a relatively rare injury of the posteriolateral abdominal wall. Lumbar hernia should be suspected in patients with high-energy injuries of the torso, and all such patients should undergo abdominopelvic computed tomography. After diagnosis, hernia repair can be electively performed without complications in most cases.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Accidental Falls
/
Medical Records
/
Retrospective Studies
/
Motor Vehicles
/
Cough
/
Abdominal Wall
/
Seroma
/
Diagnosis
/
Emergencies
Type of study:
Diagnostic study
/
Observational study
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2018
Type:
Article
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