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Traumatic inferior lumbar hernia.

Niyaz Baig1, Hassan Elberm1, Patrick Warren1

  • 1University Hospital Southampton, Acute Surgical Unit, General Surgery, Tremona Road, Southampton, Hampshire, SO 16 6YD, UK.

Journal of Surgical Case Reports
|June 6, 2022
PubMed
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Traumatic lumbar hernias are rare injuries. This case report details the successful surgical repair of a traumatic lumbar hernia containing the ascending colon in a high-velocity collision patient.

Area of Science:

  • Trauma surgery
  • Abdominal wall reconstruction
  • Hernia repair

Background:

  • Traumatic lumbar hernias are infrequently documented in surgical literature.
  • Management strategies for these injuries remain poorly defined.

Observation:

  • A 41-year-old male sustained multiple bony injuries after a high-velocity road traffic collision (140 mph).
  • The patient presented with a traumatic right inferior lumbar hernia containing the ascending colon.

Findings:

  • The traumatic lumbar hernia was surgically repaired using an extra-peritoneal approach.
  • Mesh reinforcement and approximation of abdominal wall muscles were key components of the repair.

Implications:

  • This case highlights a successful surgical technique for managing rare traumatic lumbar hernias.

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  • Effective management involves extra-peritoneal mesh repair and anatomical reconstruction.