Jaén OAR, Goderich LJM, Ojeda LLA

Language: Spanish
References: 12
Page: 29-31
PDF size: 244.80 Kb.

ABSTRACT

Background: Lumbar hernia is a relatively rare disease in medical practice, so the aim of our study was to investigate the clinical manifestations, diagnosis and surgical treatment outcomes superior lumbar triangle (Grynfelt space).
Material and methods: Five cases of lumbar hernia attended the outpatient hernia surgery reference General Hospital “Juan Bruno Zayas” in Santiago de Cuba; the patients were studied by retrospective clinical observation from September 2004 to September 2006.
Results: The clinical diagnosis was in all patients and confirmed in the surgical procedure, all belonged females, between 50 and 65 years old; common clinical manifestation proved to be reducible, painless mass in left lumbar region high; in three cases the hernia was recurrent. All received elective surgery under spinal anesthesia, prosthetic mesh repair of polypropylene (PP), and hospital discharge at 48 hours. There were no postoperative complications, and follow-up for two years there has been no recurrence.
Conclusions: The diagnosis of herniated Grynfelt is clinical and prosthetic repair is a safe and effective method.

REFERENCES

1. Díaz-Chávez EP, Medina-Chávez JL, Prieto DS. Grynfelt hernia. Hernia. 2000;4:159-161.

2. Le NJ et al. Lumbar hernias in adults. A propos of 4 cases and review of the literature. Chir Paris. 1993;130:397-402.

3. Baeza HC, Franco VR. Grynfelt triangle hernia, presentation of two cases. Bol Med Mex. 1985;42:329-331.

4. Alves A, Maximiliano L, Fujimura I, Pires PW. Grynfelt hernia. Arch Gastroenterol. 1996;33:32-36.

5. Amico GD, Nardi M, Basti M, Perrone A. Lumbar hernia of Grynfelt quadrilateral space. A propos of a case Inerva. Chir. 1993;48:1025-1027.

6. Esposito TJ, Fedorak I. Traumatic lumbar hernia: case report and literatura review. J Trauma. 1994;37:123-126.

7. Rosato L, Paino O, Ginardi A. Traumatic lumbar hernia of the Petit triangles. A clinical case Minerva Chir. 1996;51:1125-1127.

8. Shiki S, Kuwata Y, Kashihara E. A case of superior lumbar hernia. Jpn J Surg. 1991;21:696-669.

9. Bolkier M et al. An operation for incisional lumbar hernia. Eur Urol. 1991;20:52-53.

10. Arca MJ et al. Laparoscopic repair of lumbar hernias. Am Coll Surg. 1998;187:147-152.

11. Abdalla RZ, Machado MAC, Cutait R. Laparoscopic repair of recurrent incisional lumbar hernia. Hernia.2001;5:59.

12. Zhou N, Nve JD, Chen G. Lumbar hernia: clinical analysis of 11 cases. Hernia. 2004;8:260-263.