GUO Zheng-tuan,XU Quan,LI Peng,et al.Diagnosis and management of congenital lumbar hernias in children.[J].Journal of Clinical Pediatric Surgery,,9():0.
Diagnosis and management of congenital lumbar hernias in children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第9卷
Number:
2010 04
Page:
0
Column:
Date of publication:
2010-08-28
- Keywords:
- Hernia; Ventral/DI; Hernia; ventral/TH; Child
- Abstract:
- Objective To research the diagnosis and treatment of congenital lumbar hernias(CLHs) in children. Methods Seven patients with nine CLHs were treated in our hospital from 1980 to 2008. The four boys and three girls ranged in age from three months to eighteen months old at diagnosis. All patients presented with abnormal protrusions in the lumbar region. Five CLHs was unilateral, in which three originate in the superior lumbar triangle of Grynfelt-Lesshaft and two in the inferior lumbar triangle of Petit. Two patients had bilateral CLHs identified as diffuse swellings affecting the entire lumbar region. All CLHs were repaired primarily. For five unilateral CLHs, high ligation or transfixion of hernial sac was performed, then hernia ring and its local tissue was sutured. Two patients with bilateral lumbar hernia underwent plicating and overlapping suture of hernial sac and weak muscular layers of lateral abdominal wall. Results All patients have recoveried well without recurrence with a follow-up period ranging from 1 to 5 years. No complications occurred. Conclusions Generally, making a diagnosis of CLH is not difficult, but the most important thing is to investigate it's severity and associated malformations. Early repairing of congenital lumbar hernias in children is advocated. Primary repair with local tissues is the ideal treatment of choice. Plicating and overlapping suture of hernial sac and the weak muscular layers of lateral abdominal wall may be performed when the size of the defect is large or the defect is diffuse and primary suture is impossible. Surgical repair with autologous tissues should be considered as far as possible. Overall, a successful operation offers a good result.
Last Update:
2010-08-30