Large Traumatic Lumbar Hernia: A Difficult and Uncommon Problem.

Authors

Elise Heidorn, Department of Surgery, Reading Hospital-Tower Health, West Reading, PA, USAFollow
Margaret Costa, Department of Surgery, Reading Hospital-Tower Health, West Reading, PA, USAFollow
Abigail Coots, Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Reading Hospital-Tower Health, West Reading, PA, USAFollow
Adrian Ong, Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Reading Hospital-Tower Health, West Reading, PA, USAFollow
Christopher Butts, Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Reading Hospital-Tower Health, West Reading, PA, USAFollow

Document Type

Article

Publication Date

7-2023

Abstract

Lumbar hernias are congenital or acquired posterolateral abdominal wall hernias and are located in the superior or inferior lumbar triangle. Traumatic lumbar hernias are rare, and the optimal method to repair these is not well-defined. We present the case of a 59-year-old obese female who presented after a motor vehicle collision with an 8.8 cm traumatic right-sided inferior lumbar hernia and overlying complex abdominal wall laceration. The patient underwent an open repair with retro rectus polypropylene mesh and biologic mesh underlay several months after the abdominal wall wound healed, and the patient lost 60 pounds. The patient recovered well without complications or recurrence at the one-year follow-up. This case demonstrates a complex, open surgical approach to repair a large traumatic lumbar hernia not amenable to laparoscopic repair.

Publication Title

The American surgeon

Volume

89

Issue

7

First Page

3223

Last Page

3225

Recommended Citation

Heidorn, E., Costa, M., Coots, A., Ong, A., & Butts, C. (2023). Large Traumatic Lumbar Hernia: A Difficult and Uncommon Problem.. The American surgeon, 89 (7), 3223-3225. https://doi.org/https://doi.org/10.1177/00031348231157835