Congenital lumbar hernia: 20 years' single centre experience
Anshuman Sharma1, Anand Pandey, Jiledar Rawat
1Department of Pediatric Surgery, King George's Medical University, Lucknow, India.
Journal of Paediatrics and Child Health
|October 9, 2012
Summary
Congenital lumbar hernia repair in children is uncommon. Surgical treatment, including primary repair or meshplasty, effectively manages this condition with no recurrence observed in this study.
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
Background:
- Congenital lumbar hernia is a rare condition with limited reported cases.
- Understanding its incidence, associated conditions, and management is crucial for pediatric surgical practice.
Purpose of the Study:
- To investigate the incidence, associated conditions, management strategies, and complications of congenital lumbar hernia repair in pediatric patients.
- To analyze outcomes of surgical repair for congenital lumbar hernias.
Main Methods:
- Retrospective analysis of pediatric patients undergoing congenital lumbar hernia repair over a 20-year period (January 1990 to January 2010).
- Data collected included patient demographics, hernia characteristics, surgical techniques (primary repair vs. prosthetic meshplasty), and follow-up outcomes.
Main Results:
- Eighteen pediatric patients with congenital lumbar hernias were identified, including two with bilateral hernias.
- All operated patients underwent open repair, with primary repair in 14 and prosthetic meshplasty in two. No recurrence was observed during an average 3-year follow-up.
- Two patients were not operated on.
Conclusions:
- Congenital lumbar hernia repair, whether primary or prosthetic, provides adequate management.
- Large hernia defects (>10 cm) may necessitate the use of prosthetic mesh repair.
