KMID : 0371320010610010114
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Journal of the Korean Surgical Society 2001 Volume.61 No. 1 p.114 ~ p.117
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2 Cases of Lumbar Hernia
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Park Sung-Gil
Lim Hung-Keun Kim Kab-Tae Kim Sang-Hyun
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Abstract
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Lumbar hernia presents as a reducible protruding mass in the flank region between the 12th rib and the iliac crest. The superior lumbar hernia (Grynfeltt¡¯s) is covered by the thin latissimus dorsi muscle and bounded by the erector spinae and
internal
obliquus abdominis muscle. The lumbodorsal fascia forms the floor of the Grynfeltt¡¯s triangle. Spontaneous or acquired non-traumatic lumbar hernia occurs more frequently after middle age. The untreate
d lumbar hernia progresses in size gradually. As in most hernias, the larger the defect, the more complicated and difficult is the repair. Here we report 2 female patients with spontaneous lumbar hernia diagnosed at Presbyterian Medical Center
with
computerized tomogram. Their treatment consisted of tension- free surgical repair utilizing the overlap method for defect edge and the application of prolene mesh.
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KEYWORD
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