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Congenital lumbar herniae: a systematic review.
N Tasis1, I Tsouknidas2, M I Antonopoulou3
1Second Department of Surgery, Athens Naval and Veterans Hospital, Dinokratous 70, Kolonaki, Athens, Greece. tasisnikolaos@gmail.com.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|August 4, 2021
Summary
Congenital lumbar hernia is a rare condition in children. Surgical repair is often recommended within the first year for optimal torso development, with low recurrence rates.
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
- Abdominal Wall Defects
Background:
- Congenital lumbar hernia involves visceral protrusion through the posterior abdominal wall present at birth.
- This systematic review focuses on surgical decision-making for this rare pediatric pathology.
Approach:
- A systematic review of English literature from 2000-2020 was conducted using PubMed, EMBASE, and Google Scholar.
- Data from 35 studies encompassing 85 pediatric patients with congenital lumbar hernia were analyzed.
Key Points:
- The majority of patients (83.3%) underwent surgical repair, predominantly open procedures (93.3%), with primary suture repair being common (71.7%).
- Associated anatomical anomalies were present in 71.8% of cases, highlighting the need for thorough investigation.
- Post-operative morbidity was low (6.7%), and the recurrence rate was 3.3% at a mean follow-up of 26.4 months.
Conclusions:
- Congenital lumbar hernia is rare in pediatrics, necessitating vigilance for associated anomalies.
- Surgical intervention, typically within the first year, is crucial for symmetrical torso development.
- The study emphasizes the importance of cross-sectional imaging for diagnosis and management planning.
