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Nguyen TTNH, Haque IU, Rahman AA, Das A. Traumatic lumbar hernia: successful mesh repair using bone anchors. ANZ J Surg 2020; 91:469-470. [PMID: 32761876 DOI: 10.1111/ans.16206] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 06/27/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Thi Thuy Nga Hillary Nguyen
- Department of Upper Gastrointestinal and General Surgery, Liverpool Hospital, Sydney, New South Wales, Australia
| | - Izhar-Ul Haque
- Department of Upper Gastrointestinal and General Surgery, Liverpool Hospital, Sydney, New South Wales, Australia
| | - Ahmed Arifur Rahman
- Department of Upper Gastrointestinal and General Surgery, Liverpool Hospital, Sydney, New South Wales, Australia
| | - Amitabha Das
- Department of Upper Gastrointestinal and General Surgery, Liverpool Hospital, Sydney, New South Wales, Australia
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Suh Y, Gandhi J, Zaidi S, Smith NL, Tan MY, Khan SA. Lumbar hernia: A commonly misevaluated condition of the bilateral costoiliac spaces. TRANSLATIONAL RESEARCH IN ANATOMY 2017. [DOI: 10.1016/j.tria.2017.10.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
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Macchi V, Porzionato A, Morra A, Picardi EEE, Stecco C, Loukas M, Tubbs RS, De Caro R. The triangles of Grynfeltt and Petit and the lumbar tunnel: an anatomo-radiologic study. Hernia 2016; 21:369-376. [PMID: 27215430 DOI: 10.1007/s10029-016-1509-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2015] [Accepted: 05/09/2016] [Indexed: 11/28/2022]
Abstract
PURPOSE Lumbar hernias are protrusions of intra-abdominal contents classically through the superior (Grynfeltt) and inferior (Petit) lumbar triangles. The anatomy of the triangles is variable and quantitative data are few. No radiological data on the anatomy of the triangles are available. METHODS Fifty computed tomography angiography of the upper abdomen (M25, F25, mean age 72.5-year-old) were analyzed. The dimensions and the contents of the lumbar triangles were analyzed. The characteristics of the space between the two triangles were also documented. RESULTS The superior lumbar triangle showed a mean surface area of 5.10 ± 2.6 cm2. In the area of the triangle, the 12th intercostal pedicle and the 1st lumbar branches of the iliolumbar vessels were found in 42 and 46 %, respectively. The inferior lumbar triangle had a mean surface of area 18.7 ± 8.4 cm2. In this area, the 2nd, 3rd, and 4th lumbar branches were found in 9, 67, and 8 %, respectively. On oblique coronal images, a direct tunnel between the superior and the inferior lumbar triangles was found, showing an oblique course, with a postero-anterior direction (mean length 36.5 ± 5.8 mm, mean caliber 7.4 ± 3.1 mm). CONCLUSIONS Among the anatomical factors of weakening of the abdominal wall, the course of branches of the lumbar vessels was documented not only in the superior but also in the inferior lumbar triangle. A real musculoaponeurotic tunnel between the superior and the inferior lumbar triangles located in the oblique coronal plane was found, that could play a role in the development of incarceration or strangulation of lumbar hernias.
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Affiliation(s)
- V Macchi
- Department of Molecular Medicine, Institute of Human Anatomy, University of Padova, Via A. Gabelli 65, 35127, Padua, Italy
| | - A Porzionato
- Department of Molecular Medicine, Institute of Human Anatomy, University of Padova, Via A. Gabelli 65, 35127, Padua, Italy
| | - A Morra
- Section of Radiology, Euganea Medica Center, Via Colombo 3, Sant'Agostino Di Albignasego, Padua, Italy
| | - E E E Picardi
- Department of Molecular Medicine, Institute of Human Anatomy, University of Padova, Via A. Gabelli 65, 35127, Padua, Italy
| | - C Stecco
- Department of Molecular Medicine, Institute of Human Anatomy, University of Padova, Via A. Gabelli 65, 35127, Padua, Italy
| | - M Loukas
- Department of Anatomical Sciences, School of Medicine, St. George's University, True Blue, Grenada
| | - R S Tubbs
- Seattle Science Foundation, Seattle, WA, USA
| | - R De Caro
- Department of Molecular Medicine, Institute of Human Anatomy, University of Padova, Via A. Gabelli 65, 35127, Padua, Italy.
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Abstract
This report describes an alternative technique for Petit hernia repair. The treatment of lumbar hernias should follow the concept of tension-free surgery, and the preperitoneal space can be the best place for prosthesis placement. An obese patient had a bulge in the right lumbar region, which gradually grew and became symptomatic, limiting her daily activities and jeopardizing her quality of life. She had previously undergone 2 surgical procedures with different incisions. We created a preperitoneal space and attached a mesh in this position. Another prosthesis was placed on the muscles, with a suitable edge beyond the limits of the defect. There were no complications. It has been described as a safe and tension-free repair for Petit hernia. 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.
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Ziesmann MT, Alotaiby N, Al Abbasi T, Rezende-Neto JB. Gallstone ileus obstructing within an incarcerated lumbar hernia: an unusual presentation of a rare diagnosis. BMJ Case Rep 2014; 2014:bcr-2014-208213. [PMID: 25471112 DOI: 10.1136/bcr-2014-208213] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
We describe an unusual case of a 74-year-old woman who presented with signs and symptoms of small-bowel obstruction and a clinically appreciable, irreducible, left-sided lumbar hernia associated with previous iliac crest bone graft harvesting. Palpation of the hernia demonstrated a small, firm mass within the loops of herniated bowel. CT scanning recognised an intraluminal gallstone at the transition point, establishing the diagnosis of gallstone ileus within an incarcerated lumbar hernia. The proposed explanatory mechanism is that of a gallstone migrating into an easily reducible hernia containing small bowel causing obstruction at the hernia neck by a ball-valve mechanism, resulting in proximal bowel dilation and thus hernia incarceration; it remains unclear when the stone entered the hernia, and whether it enlarged in situ or prior to entering the enteral tract. This is only the second reported instance in the literature of an intraluminal gallstone causing hernia incarceration.
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Affiliation(s)
| | - Nouf Alotaiby
- Department of General Surgery, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Thamer Al Abbasi
- Royal Medical Services, Bahrain Defense Force, West Riffa, Riffa, Bahrain
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Suarez S, Hernandez JD. Laparoscopic repair of a lumbar hernia: report of a case and extensive review of the literature. Surg Endosc 2013; 27:3421-9. [PMID: 23636518 DOI: 10.1007/s00464-013-2884-9] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2012] [Accepted: 02/15/2013] [Indexed: 01/10/2023]
Abstract
Lumbar hernias are a protrusion of intra-abdominal contents through a weakness or rupture in the posterior abdominal wall. They are considered to be a rare entity with approximately 300 cases reported in the literature since it was first described by Barbette in 1672. Petit described the inferior lumbar triangle in 1783 and Grynfeltt described the superior lumbar triangle in 1866; both are anatomical boundaries where 95% of lumbar hernias occur, whereas the other 5% are considered to be diffuse. Twenty percent of lumbar hernias are congenital and the other 80% are acquired; the acquired lumbar hernias can be further classified into either primary (spontaneous) or secondary. The typical presentation of lumbar hernias is a patient with a protruding semispherical bulge in the back with a slow growth. However, they may present with an incarcerated or strangulated bowel, so it is recommended that all lumbar hernias must be repaired as soon as they are diagnosed. The "gold standard" for diagnosing a lumbar hernia is a CT scan, because it is able to delineate muscular and fascial layers, detect a defect in one or more of these layers, evaluate the presence of herniated contents, differentiate muscle atrophy from a real hernia, and serve as a useful tool in the differential diagnosis, such as tumors. Recent studies have demonstrated the advantages of a laparoscopic repair instead of the classic open approach as the ideal treatment option for lumbar hernias. We report 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. It is followed by an extensive review of lumbar hernias literature regarding history, anatomy, and surgical techniques.
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Affiliation(s)
- Sebastian Suarez
- School of Medicine, Universidad de Andes, Department of Surgery, Hospital Universitario Fundación Santa Fe de Bogota, Carrera 7 No 116-05, Cuarto Piso, Bogotá, Colombia
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Shiber JR, Cushman JG. Traumatic lumbar visceral hernia. J Emerg Med 2011; 43:e59-60. [PMID: 21334158 DOI: 10.1016/j.jemermed.2010.11.047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2010] [Revised: 06/23/2010] [Accepted: 11/02/2010] [Indexed: 11/18/2022]
Affiliation(s)
- Joseph R Shiber
- University of Maryland/R. Adams Cowley Shock Trauma Center, Baltimore, Maryland, USA
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Torer N, Yildirim S, Tarim A, Colakoglu T, Moray G. Traumatic lumbar hernia: report of a case. Int J Surg 2008; 6:e57-9. [PMID: 19059139 DOI: 10.1016/j.ijsu.2007.02.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2007] [Accepted: 02/18/2007] [Indexed: 11/18/2022]
Abstract
Traumatic lumbar hernias are very rare. Here, we present a case of secondary lumbar hernia. A 44-year-old man sustained a crushing injury. On admission, ecchymotic, fluctuating swelling was present on his left flank with normal vital signs. Subcutaneous intestinal segments were revealed at his left flank on abdominal CT. Emergency laparotomy revealed a 10-cm defect on the left postero-lateral abdominal wall. The splenic flexure was herniated through the defect. Herniated segments was reduced, the defect was repaired with a polypropylene mesh graft. There was also a serosal tear and an ischemic area 3mm wide on the splenic flexure and was repaired primarily. The patient had an uneventful recovery. Most traumatic lumbar hernias are caused by blunt trauma. Trauma that causes abdominal wall disruption also may cause intraabdominal organ injury. Abdominal CT is useful in the diagnosis and allows for diagnosis of coexisting organ injury. Emergency laparotomy should be performed to repair possible coexisting injuries.
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Affiliation(s)
- Nurkan Torer
- Baskent University Faculty of Medicine, Department of General Surgery, Ankara, Turkey
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Bender JS, Dennis RW, Albrecht RM. Traumatic flank hernias: acute and chronic management. Am J Surg 2008; 195:414-7; discussion 417. [DOI: 10.1016/j.amjsurg.2007.12.004] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2007] [Revised: 12/04/2007] [Accepted: 12/04/2007] [Indexed: 11/24/2022]
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McCarthy MC, Price SW, Rundell WK, Lehner JT, Barney LM, Ekeh AP, Saxe JM, Woods RJ, Walusimbi MS. Pediatric blunt abdominal aortic injuries: case report and review of the literature. ACTA ACUST UNITED AC 2008; 63:1383-7. [PMID: 17308495 DOI: 10.1097/01.ta.0000224912.06226.2c] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Mary C McCarthy
- Department of Surgery, Wright State University, Dayton, Ohio, USA.
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Zentner L, Firkin A, House R. Cervical surgical emphysema: rare presentation of a sigmoid colon retroperitoneal perforation with abscess rupture through the lumbar triangle of Petit. AUSTRALASIAN RADIOLOGY 2007; 51 Spec No.:B140-3. [PMID: 17875138 DOI: 10.1111/j.1440-1673.2007.01854.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
A retroperitoneal sigmoid colon perforation presenting with cervical surgical emphysema secondary to abscess rupture through the lumbar triangle of Petit into the posterior paraspinal muscle compartment has not been previously described. We report a case where previously ingested barium clearly demonstrates this unusual pathway.
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Affiliation(s)
- L Zentner
- Ballarat Base Hospital, Ballarat, Victoria, Australia.
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Moreno-Egea A, Girela E, Parlorio E, Aguayo-Albasini JL. Controversias en el manejo actual de las hernias traumáticas de pared abdominal. Cir Esp 2007; 82:260-7. [DOI: 10.1016/s0009-739x(07)71723-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/07/2022]
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Rogers FB, Bartlett C. Fixation of mesh in large flank hernias as a result of extensive muscular avulsion from seatbelt injuries. THE JOURNAL OF TRAUMA 2006; 61:1010-1. [PMID: 17033581 DOI: 10.1097/01.ta.0000215407.49865.fc] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Burt BM, Afifi HY, Wantz GE, Barie PS. Traumatic lumbar hernia: report of cases and comprehensive review of the literature. ACTA ACUST UNITED AC 2006; 57:1361-70. [PMID: 15625480 DOI: 10.1097/01.ta.0000145084.25342.9d] [Citation(s) in RCA: 74] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Acute lumbar hernia secondary to blunt trauma is an uncommon injury of the abdominal wall and, when encountered, is a difficult challenge for the trauma surgeon. METHODS Three cases of lumbar hernia secondary to blunt trauma are described and a review of the literature was conducted for other such cases. Clinical, anatomic, and demographic data were extracted from these reports and analyzed. RESULTS Sixty-three cases of lumbar hernia secondary to blunt trauma were found in the English literature and three cases are described here. Hernias occurred most commonly in the inferior lumbar triangle (70%) and were most frequently a result of a motor vehicle collision (71%). Physical examination findings were variable and reported in only a minority of cases (palpable hernia, 33%; flank hematoma, 27%) and associated intra-abdominal injuries were common (61%). Most traumatic lumbar hernias were diagnosed immediately, and computed tomography was 98% sensitive for diagnosis. Fifty-eight percent of patients were managed initially with exploratory laparotomy. Timing of hernia repair was variable. CONCLUSION Traumatic lumbar hernias are associated with a high incidence of intra-abdominal injury and should be considered in all cases of severe blunt abdominal trauma. Computed tomography should be implemented when the diagnosis is suspected in a hemodynamically stable patient. Repair should be performed by mesh patching techniques at a time based on clinical correlation.
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Affiliation(s)
- Bryan M Burt
- Departments of Surgery, New York-Presbyterian Hospital-Weill Cornell Medical Center, New York, New York, USA.
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Affiliation(s)
- Adrian E Park
- Division of General Surgery, University of Maryland Medical Center, Baltimore, Maryland, USA
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Zhou X, Nve JO, Chen G. Lumbar hernia: clinical analysis of 11 cases. Hernia 2004; 8:260-3. [PMID: 15221643 DOI: 10.1007/s10029-004-0230-9] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2003] [Accepted: 03/09/2004] [Indexed: 11/30/2022]
Abstract
BACKGROUND Lumbar hernia is a relatively rare phenomenon. The aim of this study was to investigate the clinical manifestation, the diagnosis of lumbar hernia, and the outcome of the surgical procedure. METHODS Eleven cases of lumbar hernia were studied by clinical observation retrospectively from July 1998 to July 2000. RESULTS All the patients were diagnosed clinically and confirmed operatively. The typical manifestation was a semi-spherical painful mass in the superior or inferior triangle. If the gut was incarcerated, bowel obstruction may subsequently develop. Ten of the eleven patients were treated successfully. CONCLUSIONS The clinical symptoms and signs usually allow for easy diagnosis. Excision of the sac and high ligation, followed by repair using either surrounding tissue or prosthetic material, provided satisfactory results.
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Affiliation(s)
- X Zhou
- Department of Surgery, Bata General Hospital, Equatorial Guinea.
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Narula HS, Khan RBN. Extensive disruption of abdominal wall musculature with intestinal prolapse, a rare injury caused by seat belt. Injury 2004; 35:318-9. [PMID: 15124802 DOI: 10.1016/s0020-1383(03)00074-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- H S Narula
- Department of Surgery, Airedale NHS Trust, Skipton Road, Steeton, Keighley, West Yorkshire BD20 6TD, UK
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Shuhaiber J, Dunn T, Evans A, Fishman D, Merlotti G, Salzman S. Traumatic lumbar hernia with ureteropelvic junction disruption: case report and review of the literature. ACTA ACUST UNITED AC 2003; 55:985-8. [PMID: 14608180 DOI: 10.1097/01.ta.0000031717.23635.da] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Jeffrey Shuhaiber
- Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA
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Meinke AK. Totally extraperitoneal laparoendoscopic repair of lumbar hernia. Surg Endosc 2003; 17:734-7. [PMID: 12618948 DOI: 10.1007/s00464-002-8557-8] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2002] [Accepted: 11/12/2002] [Indexed: 01/21/2023]
Abstract
BACKGROUND The repair of congenital and acquired lumbar hernias has remained a significant surgical challenge for over three centuries. Transperitoneal laparoendoscopic techniques have been reported that have achieved success in repairing these difficult hernias using a variety of synthetic mesh. Careful review of the surgical literature addressing the repair of lumbar hernia reveals that only fourteen successful cases have been reported using minimally invasive techniques. All of these cases elected a transperitonal approach to repair. Encouraged by established success in the repair of inguinal hernia using an extraperitoneal approach, the repair of a large inferior triangle lumbar hernia was attempted using overlapping synthetic mesh technique while remaining entirely in an extraperitoneal plane. METHODS A seventy-eight-year-old patient presented for repair of a large symptomatic right lumbar hernia, one year following iliac bone harvest for lumbar laminectomy/fusion. Under general anesthesia, the patient was placed in a lateral decubitus position with lumbar roll in place. Using a muscle splitting dissection through the lateral abdominal musculature, a plane was developed bluntly between the transversalus muscle and the peritoneum. Using a three trocar technique, the plane was matured posteriorly, achieving an ample working space to identify the hernia and complete a synthetic mesh (PTFE) repair. RESULTS A large inferior triangle lumbar hernia was successfully repaired using overlapping synthetic mesh technique while remaining entirely in an extraperitoneal plane. Eighteen month reevaluation including physical examination and computer tomographic (CT) study confirms successful repair without recurrence of symptoms. CONCLUSIONS A totally extraperitoneal approach to the identification, mobilization, and repair of lumbar hernia can be successfully accomplished using established laparoendoscopic surgical techniques.
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Affiliation(s)
- A K Meinke
- Department of Laproendoscopic Surgery, Norwalk Hospital, 34 Maple Street, Norwalk, CT 06856, USA.
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Bulger EM, Foy H. Myodesis: a novel approach to the repair of complex traumatic hernias. THE JOURNAL OF TRAUMA 2002; 52:756-8. [PMID: 11956396 DOI: 10.1097/00005373-200204000-00025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Eileen M Bulger
- Department of Surgery, Harborview Medical Center, University of Washington, Seattle 98104, USA.
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Abstract
Characteristic patterns of injury to children in automobile crashes resulting from lap and lap-shoulder belts have been described for many years. These injuries are known as the "seat belt syndrome." We present a typical case of seat belt syndrome involving a 4-year-old boy and review the current literature on the topic, highlighting proposed mechanisms of intra-abdominal and spine injuries. In addition, recent research findings identifying a new pattern of injuries associated with inappropriate seat belt use in young children are reviewed. Emergency physicians must consider these seat belt-related injuries in the initial evaluation of any child involved in a motor vehicle crash who was restrained with the vehicle seat belt.
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Affiliation(s)
- D R Durbin
- Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
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Killeen KL, Girard S, DeMeo JH, Shanmuganathan K, Mirvis SE. Using CT to diagnose traumatic lumbar hernia. AJR Am J Roentgenol 2000; 174:1413-5. [PMID: 10789805 DOI: 10.2214/ajr.174.5.1741413] [Citation(s) in RCA: 60] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVE The objective of this study was to determine the CT findings of traumatic lumbar hernia in 15 patients and to discuss the mechanism and treatment of injury. CONCLUSION 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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Affiliation(s)
- K L Killeen
- Department of Radiology, Shock Trauma Center, University of Maryland Medical System, Baltimore 21201-1595, USA
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Balkan M, Kozak O, Güleç B, Tasar M, Pekcan M. Traumatic lumbar hernia due to seat belt injury: case report. THE JOURNAL OF TRAUMA 1999; 47:154-5. [PMID: 10421203 DOI: 10.1097/00005373-199907000-00031] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- M Balkan
- Department of General Surgery, Gülhane Military Medical Academy, Ankara, Turkey
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Woodward AM, Flint LM, Ferrara JJ. Laparoscopic retroperitoneal repair of recurrent postoperative lumbar hernia. J Laparoendosc Adv Surg Tech A 1999; 9:181-6. [PMID: 10235358 DOI: 10.1089/lap.1999.9.181] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
A patient who previously underwent an attempt at open mesh repair of a lumbar hernia that occurred following iliac crest bone harvesting was managed successfully by laparoscopic retroperitoneal fixation of the prosthetic material to the iliac crest using bone screws. A review of the literature supports the use of such a novel approach to manage this often vexing problem.
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Affiliation(s)
- A M Woodward
- Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA
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Zamir G, Gross E, Simha M, Pikarsky AJ, Rivkind A. Incarcerated lumbar hernia--delayed consequence of a seat belt injury. Injury 1998; 29:561-3. [PMID: 10193505 DOI: 10.1016/s0020-1383(98)00119-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- G Zamir
- Department of Surgery and Trauma Unit, Hadassah University Hospital, Jerusalem, Israel
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