Day Serena J, Myers Paige L, Bell Derek E
University of Rochester, School of Medicine and Dentistry, Rochester, NY, United States.
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Rochester Medical Center, United States.
Trauma Case Rep. 2018 Mar 15;14:5-7. doi: 10.1016/j.tcr.2017.10.009. eCollection 2018 Apr.
Lumbar hernias are rare occurrences, with only 300 cases reported in the literature. We present a unique case of a superior lumbar hernia secondary to penetrating trauma to the right flank. We performed a herniorrhaphy using porcine mesh, and provided additional support by mobilizing the external oblique and latissimus dorsi into the defect. At follow up three months after repair, the patient was asymptomatic and exam revealed an intact lumbar abdominal wall with normal contour. Although literature displays a consensus on the need for lumbar hernia repair, specific repair techniques must be tailored to defect etiology, size, location, and contents.
腰椎疝较为罕见，文献中仅报道过300例。我们呈现了一例独特的因右侧胁腹穿透伤继发的高位腰椎疝病例。我们使用猪网片进行了疝修补术，并通过将腹外斜肌和背阔肌牵拉至缺损处提供了额外支撑。修复术后三个月随访时，患者无症状，检查发现腰腹壁完整，外形正常。尽管文献对于腰椎疝修复的必要性已达成共识，但具体的修复技术必须根据缺损的病因、大小、位置及内容物进行调整。
