Rafols Marc, Bergholz Daniel, Andreoni Anthony, Knickerbocker Chase, Davies Jennifer, Grossman Robert A
Department of General Surgery, Mount Sinai Medical Center, Miami Beach, FL 33140, USA.
University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Case Rep Surg. 2020 Jul 31;2020:8859106. doi: 10.1155/2020/8859106. eCollection 2020.
Lumbar hernias are rare abdominal wall defects. Fewer than 400 cases have been reported in the literature and account for 2% of all abdominal wall hernias. Lumbar hernias are divided into Grynfelt-Lesshaft or Petit hernias. The former are hernia defects through the superior lumbar triangle, while the latter are defects of the inferior lumbar triangle. Primary lumbar hernias are further subdivided into congenital or acquired hernias and can further be classified as either primary or secondary. Secondary hernias occur after previous flank surgeries, iatrogenic muscular disruption, infection, or trauma. We review a rare presentation of metachronous symptomatic bilateral secondary acquired lumbar hernia following spine surgery. A successful laparoscopic transabdominal lumbar hernia repair with extraperitoneal mesh placement was performed, with resolution of the hernia symptoms. An extensive literature review regarding lumbar hernia and different types of repairs was performed.
腰椎疝是一种罕见的腹壁缺损。文献报道的病例不足400例，占所有腹壁疝的2%。腰椎疝分为格伦费尔特-莱沙夫特疝或佩蒂特疝。前者是通过腰上三角的疝缺损，而后者是腰下三角的缺损。原发性腰椎疝进一步细分为先天性或后天性疝，还可进一步分为原发性或继发性。继发性疝发生于既往侧腹手术、医源性肌肉破坏、感染或创伤之后。我们回顾了一例脊柱手术后出现的异时性有症状双侧继发性后天性腰椎疝的罕见病例。通过腹腔镜经腹腰椎疝修补术并放置腹膜外补片成功修复，疝症状得以缓解。我们还对有关腰椎疝及不同类型修补术的文献进行了广泛综述。
