Lumbar Hernia Treated with Lightweight Partially Absorbable Mesh : Report of a Case
| Autor: | Yamaguchi, Shohei, Tsutsumi, Norifumi, Kusumoto, Eiji, Endo, Kazuya, Ikejiri, Koji, Yamashita, Yo-ichi, Uchiyama, Hideaki, Saeki, Hiroshi, Oki, Eiji, Kawanaka, Hirofumi, Morita, Masaru, Ikeda, Tetsuo, Maehara, Yoshihiko |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | 福岡醫學雜誌. 104(12):575-579 |
| ISSN: | 0016-254X |
| Popis: | 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. Grynfeltt-Lesshaftヘルニアとして知られる上腰ヘルニアは，稀な腹壁欠損疾患である．我々は，軽量半吸収性メッシュを用いて治療し得た上腰ヘルニアの一例を経験したので報告する．73歳男性が腰痛と右腰部腫瘤による圧迫感を主訴に，当科を受診した．CTでは右腹横筋腱膜の欠損と欠損部からの小腸の脱出を認め，右上腰ヘルニアと診断した．この右上腰ヘルニアは吸収成分を含む軽量ポリプロピレンメッシュ(ULTRAPRO Plug)を用いて，外科的に治療した．術後4年間，不快感なしに再発なく経過している．当症例は腰ヘルニアに対して軽量部分吸収性メッシュを用いて治療した初めての症例である．軽量部分吸収性メッシュは，腰ヘルニア治療に対して有用であると考えられる． |
| Databáze: | OpenAIRE |
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