지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.95 No.6
- 발행연도
- 2018.12
- 수록면
- 340 - 344 (5page)
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초록· 키워드
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Purpose: Traumatic lumbar hernia is rare, thus making diagnosis and proper treatment challenging. Accordingly, we aimed to investigate the clinical manifestations and proper management strategies of traumatic lumbar hernias.
Methods: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed.
Results: We included 5 men and 4 women (mean age, 55 years; range, 23–71 years). In 8 patients, most injuries were caused by motor vehicle collisions, including those wherein a pedestrian was struck (5 cases of car accidents, 2 falls, and 1 involving penetrating materials); in 1 patient, the probable cause was severe cough. Eight patients underwent hernia repair surgery (5 open and 3 laparoscopic), and a prosthetic mesh was used in 7 patients. Hernia repairs were elective in 7 patients; emergency hernia repair was performed with right hemicolectomy in 1 patient. No severe complication or recurrence was observed. Only 2 patients had mild complications, such as postoperative seroma.
Conclusion: Traumatic lumbar hernia is a relatively rare injury of the posteriolateral abdominal wall. Lumbar hernia should be suspected in patients with high-energy injuries of the torso, and all such patients should undergo abdominopelvic computed tomography. After diagnosis, hernia repair can be electively performed without complications in most cases.
Methods: The medical records of patients with traumatic lumbar hernia treated at Gachon University Gil Hospital from March 2006 to February 2015, were retrospectively reviewed.
Results: We included 5 men and 4 women (mean age, 55 years; range, 23–71 years). In 8 patients, most injuries were caused by motor vehicle collisions, including those wherein a pedestrian was struck (5 cases of car accidents, 2 falls, and 1 involving penetrating materials); in 1 patient, the probable cause was severe cough. Eight patients underwent hernia repair surgery (5 open and 3 laparoscopic), and a prosthetic mesh was used in 7 patients. Hernia repairs were elective in 7 patients; emergency hernia repair was performed with right hemicolectomy in 1 patient. No severe complication or recurrence was observed. Only 2 patients had mild complications, such as postoperative seroma.
Conclusion: Traumatic lumbar hernia is a relatively rare injury of the posteriolateral abdominal wall. Lumbar hernia should be suspected in patients with high-energy injuries of the torso, and all such patients should undergo abdominopelvic computed tomography. After diagnosis, hernia repair can be electively performed without complications in most cases.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
[학술지(정기간행물)] - Moreno-Egea A / 2007 / Controversies in the current management of lumbar hernias / Arch Surg 142 : 82 ~ 88
[학술지(정기간행물)] - Burt BM / 2004 / Traumatic lumbar hernia : report of cases and comprehensive review of the literature / J Trauma 57 : 1361 ~ 1370
[단행본] - Geis WP / 1989 / Lumbar hernia / Lippincott : 401 ~ 415
[학술지(정기간행물)] - Zhou X / 2004 / Lumbar hernia : clinical analysis of 11 cases / Hernia 8 : 260 ~ 263
[학술지(정기간행물)] - Presti JC Jr / 1988 / Lumbar herniation of the kidney / J Urol 140 : 586 ~ 587
[학술지(정기간행물)] - Burt BM / 2004 / Traumatic lumbar hernia : report of cases and comprehensive review of the literature / J Trauma 57 : 1361 ~ 1370
[단행본] - Geis WP / 1989 / Lumbar hernia / Lippincott : 401 ~ 415
[학술지(정기간행물)] - Zhou X / 2004 / Lumbar hernia : clinical analysis of 11 cases / Hernia 8 : 260 ~ 263
[학술지(정기간행물)] - Presti JC Jr / 1988 / Lumbar herniation of the kidney / J Urol 140 : 586 ~ 587
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UCI(KEPA) : I410-ECN-0101-2019-514-000192534