Lumbar hernia treated with lightweight partially absorbable mesh: report of a case.

Shohei Yamaguchi, Norifumi Tsutsumi, Eiji Kusumoto, Kazuya Endo, Koji Ikejiri, Yo ichi Yamashita, Hideaki Uchiyama, Hiroshi Saeki, Eiji Oki, Hirofumi Kawanaka, Masaru Morita, Tetsuo Ikeda, Yoshihiko Maehara

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Abstract

Superior lumbar hernia, also known as Grynfeltt-Lesshaft hernia, is an uncommon abdominal wall defect. We report a case of superior lumbar hernia, which was successfully treated with a lightweight partially absorbable mesh. A 73-year-old man visited our department with complaints of lumbar pain and a feeling of pressure associated with a right lumbar mass. A CT scan of the abdomen demonstrated a defect in the aponeurosis of the transversus abdominis muscle and a protrusion of the small intestine through the defect. The diagnosis of a right superior lumbar hernia was made. The lumbar hernia was surgically treated with a lightweight large-pore polypropylene mesh containing an absorbable component consisting of poliglecaprone (ULTRAPRO Plug). The patient had no evidence of recurrence after 4 years of follow-up without any sense of discomfort. This is the first case report of a lumbar hernia treated with a lightweight partially absorbable mesh. This partially absorbable mesh can be considered to be suitable for the treatment of a lumbar hernia.

Original languageEnglish
Pages (from-to)575-579
Number of pages5
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume104
Issue number12
Publication statusPublished - Jan 1 2013

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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  • Cite this

    Yamaguchi, S., Tsutsumi, N., Kusumoto, E., Endo, K., Ikejiri, K., Yamashita, Y. I., Uchiyama, H., Saeki, H., Oki, E., Kawanaka, H., Morita, M., Ikeda, T., & Maehara, Y. (2013). Lumbar hernia treated with lightweight partially absorbable mesh: report of a case. Fukuoka igaku zasshi = Hukuoka acta medica, 104(12), 575-579.