Traumatic lumbar hernia: clinical features and management.
Youngeun Park1, Min Chung1, Min A Lee1
1Department of Trauma, Gachon University Gil Medical Center, Incheon, Korea.
Annals of Surgical Treatment and Research
|December 4, 2018
Summary
Traumatic lumbar hernias are rare injuries. Prompt diagnosis with abdominopelvic CT and elective surgical repair, often with mesh, leads to good outcomes with minimal complications.
Area of Science:
- Trauma surgery
- Abdominal wall reconstruction
- Surgical diagnostics
Background:
- Traumatic lumbar hernias are uncommon injuries.
- Diagnosis and treatment present significant challenges.
Purpose of the Study:
- Investigate clinical manifestations of traumatic lumbar hernias.
- Determine optimal management strategies for these rare injuries.
Main Methods:
- Retrospective review of medical records for patients with traumatic lumbar hernia.
- Study period: March 2006 to February 2015 at Gachon University Gil Hospital.
Main Results:
- Nine patients (5 male, 4 female; mean age 55) were included.
- Most injuries resulted from high-energy trauma (e.g., motor vehicle collisions).
- Eight patients underwent hernia repair (5 open, 3 laparoscopic) with mesh use in seven; most repairs were elective with no severe complications or recurrence.
Conclusions:
- Traumatic lumbar hernia is a rare posterolateral abdominal wall injury.
- Suspect lumbar hernia in high-energy torso trauma; utilize abdominopelvic CT for diagnosis.
- Elective hernia repair is generally safe and effective with good outcomes.
Related Concept Videos
01:28Esophageal Varices-II: Clinical Features and Management
573
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
573
01:26Esophageal Strictures-II: Clinical Features and Management
632
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
632
01:29Gastroesophageal Reflux Disease II: Clinical Features and Management
944
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
944
01:20COPD: Pathogenesis and Clinical Features
1.8K
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
1.8K
01:25Endocarditis II: Clinical Features of Infective Endocarditis
514
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
514
01:19Pericarditis II: Clinical Features and Diagnostic Tests
329
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
329