Belekar Dnyanesh Madhukar, Dewoolkar Vinayak V, Desai Amit A, Butala Ushma K
K J Somaiya Medical College, Mumbai, Maharashtra India.
Indian J Surg. 2014 Apr;76(2):145-7. doi: 10.1007/s12262-013-0924-2. Epub 2013 Jun 12.
Lumbar hernia is a rare defect of the abdominal wall. It accounts for 2 % of all wall hernias. It is divided in two levels: superior lumbar hernia, also known as Grynfeltt's hernia (GH), and an inferior lumbar hernia or Petit's hernia. GH is more commonly encountered in practice, and it is mainly posttraumatic in origin. Spontaneous primary GH is quite rare. Only 250 to 300 of such cases have been reported the in literature so far. The treatment of choice is retroperitoneal surgical approach and a meshplasty after complete reduction of its contents. Prognosis is usually excellent.
腰疝是一种罕见的腹壁缺损。它占所有腹壁疝的2%。腰疝分为两级:上腰疝,也称为格伦费尔特疝(GH),以及下腰疝或佩蒂疝。在实际临床中,GH更为常见,其主要病因是创伤后形成。自发性原发性GH相当罕见。迄今为止,文献中仅报道了250至300例此类病例。首选的治疗方法是腹膜后手术入路,并在其内容物完全还纳后进行补片修补术。预后通常良好。