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Lumbar and Other Unusual Hernias

  • Karl A. LeBlanc
Chapter

Abstract

The practicing general surgeon has an opportunity to these types of hernias very infrequently. While most surgeons will have an opportunity to repair a Spigelian hernia occasionally, many will never see or treat the unusual ones such as the lumbar or sciatic hernias. The lumbar hernia has recently become more frequent due to the increasing use of the lumbar approach to anterior fusion of the lumbar spine. However, in many instances these “hernias” actually represent pseudohernias because these lateral bulges are the result of intercostal nerve injury (T11 and T12) and subsequent paralysis of the flat muscles of the abdominal wall. These are especially difficult to treat.

References

  1. 1.
    Kretchmer HL. Hernia of the kidney. J Urol. 1951;65:944–9.CrossRefPubMedGoogle Scholar
  2. 2.
    Moreno-Egea A, Baena EG, Calle MC, Martınez JAT, Albasini JLA. Controversies in the current Management of Lumbar Hernia. Arch Surg. 2007;142:82–8.CrossRefPubMedGoogle Scholar
  3. 3.
    Burick AJ, Parascandola SA. Laparoscopic repair of a traumatic lumbar hernia: a case report. J Laparoendosc Surg. 1996;6:259–62.CrossRefPubMedGoogle Scholar
  4. 4.
    LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded Polytetrafluroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3(1):39–41.PubMedGoogle Scholar
  5. 5.
    Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli G, Fortelny R, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)) - part III. Surg Endosc. 2014;28:2.CrossRefPubMedGoogle Scholar
  6. 6.
    Moreno-Egea A, Carrasco L, Girela E, Martín JG, Aguayo JL, Canteras M. Open vs laparoscopic repair of Spigelian hernia. A prospective randomized trial. Arch Surg. 2002;137:1266–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Louisiana State University School of Medicine, Department of Surgery, Our Lady of the Lake Physician GroupBaton RougeUSA

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