Timing of traumatic lumbar hernia repair: Is delayed repair safe? Report of two cases and review of the literature

L. Bathla, E. Davies, Robert Joseph Fitzgibbons, S. Cemaj

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Fewer than 100 cases of traumatic lumbar hernias are described in the English literature. The herniation has been described as a consequence of a combination of local tangential shearing forces combined with an acute increase in intra-abdominal pressure secondary to sudden deceleration sustained during blunt abdominal trauma. Delayed diagnosis is not uncommon, as nearly a quarter of these are missed at initial presentation. These hernias are best managed by operative intervention; however, there is no well-defined treatment strategy regarding either the timing or the type of repair. Several approaches, including laparoscopy, have been described to repair these defects. Various techniques, including primary repair, musculoaponeurotic reconstruction, and prosthetic mesh repair, have been described. These repairs are usually complicated because of the lack of musculoaponeurotic tissue inferiorly near the iliac crest. We describe here two cases of traumatic lumbar hernia managed by initial watchful waiting and subsequent elective repair using a combined laparoscopic and open technique and one with and one without bone anchor fixation.

Original languageEnglish
Pages (from-to)205-209
Number of pages5
JournalHernia : the journal of hernias and abdominal wall surgery
Volume15
Issue number2
DOIs
StatePublished - Apr 2011

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Herniorrhaphy
Hernia
Suture Anchors
Watchful Waiting
Literature
Deceleration
Delayed Diagnosis
Laparoscopy
Pressure
Wounds and Injuries
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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AU - Fitzgibbons, Robert Joseph

AU - Cemaj, S.

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