Reconstruction of traumatic lumbar hernias: A case report
Ali Roham1, Preston Gardner1, Joseph Heller2
1Dept of Plastic Surgery, Beaumont Health System, Farmington Hills, MI, USA.
International Journal of Surgery Case Reports
|July 18, 2018
Summary
Traumatic lumbar hernias, often caused by seatbelts, require understanding anatomy for repair. Surgical reconstruction using mesh reinforcement offers an effective method to restore flank muscle position and reduce recurrence.
Area of Science:
- Trauma Surgery
- Abdominal Wall Reconstruction
- Hernia Repair
Background:
- Traumatic lumbar hernias are rare injuries.
- Anatomical understanding is crucial for correcting flank defects.
- Oblique muscles can be detached from the iliac crest periosteum while maintaining spinal and rib attachments.
Purpose of the Study:
- To report a case of traumatic lumbar hernia.
- To describe the surgical technique for repair.
- To highlight the importance of anatomical knowledge in managing such hernias.
Main Methods:
- A 47-year-old male sustained a lumbar hernia from a motor vehicle accident seatbelt injury.
- Surgical repair involved placing a pre-peritoneal polypropylene mesh.
- Mesh was secured to musculature, and oblique muscles were re-approximated to the iliac crest using Mitek QUICKANCHOR® sutures.
Main Results:
- Successful surgical repair of the traumatic lumbar hernia was achieved.
- The technique restored the flank muscles to their native position.
- Mesh reinforcement was utilized for hernia repair.
Conclusions:
- Reconstruction of traumatic lumbar hernias necessitates a thorough understanding of anatomy and injury mechanism.
- Mesh reinforcement significantly reduces hernia recurrence.
- The described method is an effective approach for repairing flank defects and reinforcing the abdominal wall.
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